Table aevs_carrier_codes_for_other_health_coverage

Table: aevs_carrier_codes_for_other_health_coverage

carrier_code last_change_date status_code ohc_code carrier_name_1 carrier_name_2 carrier_addr_2 carrier_city carrier_state carrier_zip_code carrier_phone plan_type

'A001' '20211026' 'A' 'P' 'ALLEGIANCE BENEFIT PLAN ' ' ' 'PO BOX 3018 ' 'MISSOULA ' 'MT' '598063018' '8008771122' 'PPO'

'A002' '20200325' 'A' 'D' 'AVALON INSURANCE COMPANY ' ' ' 'PO BOX 772610 ' 'HARRISBURG ' 'PA' '171770001' '8772343853' 'PDP'

'A007' '20150824' 'A' 'F' 'AMERIVANTAGE ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8668054589' 'MAP'

'A008' '20150824' 'A' 'F' 'AETNA MEDICARE ' 'CLAIMS ' 'PO BOX 14079 ' 'LEXINGTON ' 'KY' '405124079' '8006240756' 'MAP'

'A009' '20210920' 'A' 'D' 'AMERIVANTAGE RX BASIC ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8668054589' 'PDP'

'A010' '20160914' 'A' 'L' 'AFLAC DENTAL ' ' ' '1932 WYNNTON RD ' 'COLUMBUS ' 'GA' '319990001' '8009923522' 'PPO'

'A011' '20220914' 'A' 'F' 'AETNA MEDICARE ASSURE ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8006240756' 'MAP'

'A012' '20220914' 'A' 'F' 'AETNA MEDICARE ASSURE ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8006240756' 'MAP'

'A013' '20220914' 'A' 'F' 'AETNA MEDICARE ASSURE 1 ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8664091221' 'MAP'

'A014' '20220914' 'A' 'F' 'AETNA MEDICARE ASSURE PLAN ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8332230614' 'MAP'

'A015' '20220118' 'A' 'F' 'AETNA MEDICARE CHOICE PLAN ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A017' '20220120' 'A' 'F' 'AETNA MEDICARE ELITE PLAN ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A018' '20230831' 'A' 'F' 'AETNA MEDICARE ELITE ' ' ' 'PO BOX 14088 ' 'LEXINGTON ' 'KY' '405124088' '8335706670' 'MAP'

'A020' '20220121' 'A' 'F' 'AETNA MEDICARE VALUE PLUS PLAN' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A021' '20150824' 'A' 'P' 'ADVENTIST RISK MANAGEMENT INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 16203 ' 'LUBBOCK ' 'TX' '794906203' '8882764732' 'PPO'

'A022' '20220225' 'A' 'F' 'ALLWELL MEDICARE ' ' ' 'PO BOX 3060 ' 'FARMINGTON ' 'MO' '636403822' '8555659518' 'MAP'

'A023' '20220914' 'A' 'F' 'AETNA MEDICARE ASSURE PLAN ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8332230614' 'MAP'

'A024' '20220914' 'A' 'F' 'AETNA MEDICARE ASSURE PLAN ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8332230614' 'MAP'

'A027' '20220118' 'A' 'F' 'AARP MEDICARE ADVANTAGE CHOICE' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8666277806' 'MAP'

'A028' '20220118' 'A' 'F' 'AARP MEDICARE ADVANTAGE CHOICE' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A030' '20190626' 'A' 'P' 'ALLWAYS HEALTH PARTNERS ' ' ' 'PO BOX 853908 ' 'RICHARDSON ' 'TX' '750853908' '8554444677' 'HMO'

'A031' '20190626' 'A' 'P' 'ALLWAYS HEALTH PARTNERS PPO ' ' ' 'PO BOX 852099 ' 'RICHARDSON ' 'TX' '750852099' '8554444647' 'PPO'

'A032' '20210907' 'A' 'F' 'ASPIRE HEALTH PLAN ' ' ' 'PO BOX 5490 ' 'SALEM ' 'OR' '973040490' '8315744938' 'MAP'

'A033' '20210907' 'A' 'P' 'ASURIS NORTHWEST HEALTH PLAN ' ' ' 'PO BOX 1106 ' 'LEWISTON ' 'ID' '835011106' '8005418981' 'PPO'

'A034' '20230118' 'A' 'F' 'AETNA MEDICARE ASSURE PREMIER ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8443620934' 'MAP'

'A035' '20220914' 'A' 'F' 'AETNA MEDICARE ASSURE PREMIER ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8443620934' 'MAP'

'A037' '20161228' 'A' 'P' 'AMA INSURANCE AGENCY ' 'ATTN HEALTH CLAIMS ' '200 N LA SALLE ST # 200 ' 'CHICAGO ' 'IL' '606011014' '8002622797' 'PPO'

'A038' '20220914' 'A' 'F' 'AETNA MEDICARE ASSURE PREMIER ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8443620934' 'MAP'

'A039' '20220118' 'A' 'F' 'AARP MEDICARE ADVANTAGE CHOICE' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A040' '20220118' 'A' 'F' 'AARP MEDICARE COMPLETE PLAN 1 ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8773702843' 'MAP'

'A041' '20220118' 'A' 'F' 'ASTIVA HEALTH VALUE ' ' ' 'PO BOX 3845 ' 'COSTA MESA ' 'CA' '926283845' '9493938839' 'MAP'

'A042' '20220120' 'A' 'F' 'AARP MEDICARE ADVANTAGE PLAN 1' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8009509355' 'MAP'

'A043' '20230831' 'A' 'F' 'AARP MEDICARE ADV CHOICE (WA) ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8447120752' 'MAP'

'A044' '20161228' 'A' 'P' 'AMERICAN NATIONAL INS CO ' 'ATTN HEALTH CLAIMS ' '1 MOODY PLZ ' 'GALVESTON ' 'TX' '775507947' '8008996803' 'PPO'

'A045' '20190722' 'A' 'P' 'AMERICAN POSTAL WORKERS UNION ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1358 ' 'GLEN BURNIE ' 'MD' '210601358' '8002222798' 'PPO'

'A047' '20220120' 'A' 'F' 'AARP MEDICARE ADV CHOICE (PA) ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A048' '20210907' 'A' 'P' 'AMERIHEALTH ' 'ATTN HEALTH CLAIMS ' '1901 MARKET ST ' 'PHILADELPHIA ' 'PA' '191031480' '8004222457' 'PPO'

'A049' '20220121' 'A' 'F' 'AARP MEDICARE COMPLETE ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A050' '20220119' 'A' 'F' 'ALLWELL MEDICARE ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8009777522' 'MAP'

'A051' '20220120' 'A' 'F' 'AARP MEDICARE ADVANTAGE PLAN 2' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8773702843' 'MAP'

'A052' '20220121' 'A' 'F' 'ALIGNMENT HEALTH PLAN PLATINUM' ' ' '1100 W TOWN AND COUNTRY RD STE 1600 ' 'ORANGE ' 'CA' '928684698' '8666342247' 'MAP'

'A053' '20230830' 'A' 'F' 'AARP MEDICARE ADVANTAGE PLAN ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8669771977' 'MAP'

'A055' '20220121' 'A' 'F' 'AMERIVANTAGE DIABETES CARE ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8888162790' 'MAP'

'A056' '20220301' 'A' 'F' 'AARP MAP WALGREENS (GA) ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A057' '20220225' 'A' 'F' 'AARP MEDICARE ADVANTAGE PLAN 1' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A058' '20220225' 'A' 'F' 'AARP MAP WALGREENS ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A059' '20220914' 'A' 'F' 'AETNA MEDICARE DUAL COMPLETE ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8332230617' 'MAP'

'A061' '20180511' 'A' 'P' 'AUTOMOTIVE IND WELFARE FUND ' 'ATTN HEALTH CLAIMS ' 'PO BOX 23263 ' 'OAKLAND ' 'CA' '946232363' '5108362484' 'PPO'

'A062' '20220225' 'A' 'F' 'AETNA MEDICARE PREMIER ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8006334227' 'MAP'

'A063' '20220225' 'A' 'F' 'AETNA MEDICARE PREMIER (PA) ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A064' '20220225' 'A' 'F' 'ATRIO BRONZE RX ' ' ' 'PO BOX 8030 ' 'KALISPELL ' 'MT' '599041030' '5416728620' 'MAP'

'A065' '20220225' 'A' 'F' 'AETNA MEDICARE SELECT PLAN ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A066' '20220301' 'A' 'F' 'AETNA MEDICARE VALUE PLAN ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A067' '20220301' 'A' 'F' 'AMERIVANTAGE CHOICE ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8337131307' 'MAP'

'A068' '20220225' 'A' 'F' 'AETNA MEDICARE PRIME PLAN ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8882689800' 'MAP'

'A069' '20220301' 'A' 'F' 'AARP MAP PATRIOT ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006334227' 'MAP'

'A071' '20220301' 'A' 'F' 'AARP MAP PATRIOT (PA) ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006334227' 'MAP'

'A073' '20220330' 'A' 'F' 'AETNA MEDICARE VALUE PLAN (IL)' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A074' '20220330' 'A' 'F' 'ALLCARE ADVANTAGE FOCUS RX ' ' ' '1701 NE 7TH ST ' 'GRANTS PASS ' 'OR' '975261319' '3054474458' 'MAP'

'A075' '20220330' 'A' 'F' 'AMERIVANTAGE PLUS ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8668054589' 'MAP'

'A077' '20220330' 'A' 'F' 'AETNA MEDICARE EAGLE PLAN ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A079' '20150824' 'A' 'P' 'AFFORDABLE BENEFIT ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 10787 ' 'BURBANK ' 'CA' '915100787' '8003500148' 'PPO'

'A080' '20220330' 'A' 'F' 'AETNA ADVANTRA ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A082' '20220510' 'A' 'F' 'AETNA ADVANTRA SILVER ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A085' '20220510' 'A' 'F' 'AARP MAP MOSAIC CHOICE ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A086' '20220510' 'A' 'F' 'AARP MAP PLAN 1 (NY) ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A087' '20220602' 'A' 'F' 'AARP MEDICARE ADVANTAGE CHOICE' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A088' '20220610' 'A' 'F' 'AGERIGHT ADVANTAGE PREMIER ' ' ' 'PO BOX 4440 ' 'GLEN ALLEN ' 'VA' '230584440' '8448546885' 'MAP'

'A089' '20220610' 'A' 'F' 'ALLINA HEALTH AETNA MEDICARE ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706671' 'MAP'

'A090' '20220914' 'A' 'F' 'AETNA MEDICARE DUAL PREFERRED ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8006240756' 'MAP'

'A091' '20220914' 'A' 'F' 'AETNA MEDICARE PRIME PLAN ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8664091221' 'MAP'

'A092' '20220914' 'A' 'F' 'ALLWELL DUAL MEDICARE ' ' ' '550 N MERIDIAN ST STE 101 ' 'INDIANAPOLIS ' 'IN' '462041208' '8332024704' 'MAP'

'A093' '20220914' 'A' 'F' 'ALLWELL DUAL MEDICARE HARMONY ' ' ' '7900 W IH 10 STE 300 ' 'SAN ANTONIO ' 'TX' '782304715' '8337170806' 'MAP'

'A095' '20220914' 'A' 'F' 'ALLWELL MEDICARE NURTURE ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8779358023' 'MAP'

'A096' '20220914' 'A' 'F' 'AMERIVANTAGE DUAL COORDINATIO ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8442095407' 'MAP'

'A097' '20220914' 'A' 'F' 'AMERIVANTAGE DUAL COORDINATIO ' ' ' 'PO BOX 62947 ' 'VIRGINIA BEACH ' 'VA' '234662947' '8668054589' 'MAP'

'A099' '20220914' 'A' 'F' 'AMERIVANTAGE DUAL PREMIER ' ' ' 'PO BOX 62947 ' 'VIRGINIA BEACH ' 'VA' '234662947' '8774110929' 'MAP'

'A100' '20220914' 'A' 'F' 'AMERIVANTAGE SELECT PLUS ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8337131304' 'MAP'

'A102' '20220914' 'A' 'F' 'ANTHEM MEDIBLUE DUAL ADVANTAG ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8448793610' 'MAP'

'A103' '20220914' 'A' 'F' 'ANTHEM MEDIBLUE DUAL ADVANTAG ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8662420251' 'MAP'

'A104' '20220914' 'A' 'F' 'ANTHEM MEDIBLUE DUAL ADVANTAG ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8448876355' 'MAP'

'A105' '20220914' 'A' 'F' 'ASCENSION COMPLETE PROVIDENCE ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8336230771' 'MAP'

'A106' '20220914' 'A' 'F' 'ASCENSION COMPLETE ST. VINCEN ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8335250824' 'MAP'

'A109' '20221208' 'A' 'F' 'AARP MEDICARE ADVANTAGE CHOIC ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'A110' '20231212' 'A' 'F' 'AARP MEDICARE ADVANTAGE OPEN ' ' ' 'PO BOX 31362 ' 'SALT LAKE CITY ' 'UT' '841310362' '8662617709' 'MAP'

'A111' '20250729' 'A' 'F' 'AARP MAP UHC CA 0024 PPO ' ' ' 'PO BOX 31362 ' 'SALT LAKE CITY ' 'UT' '841310362' '8662617709' 'MAP'

'A112' '20221208' 'A' 'F' 'AETNA BETTER HEALTH OF OHIO ' ' ' '7400 W CAMPUS RD ' 'NEW ALBANY ' 'OH' '430548722' '8553640974' 'MAP'

'A113' '20221208' 'A' 'F' 'AETNA BETTER HEALTH PREMIER P ' ' ' '4500 E COTTON CENTER BLVD ' 'PHOENIX ' 'AZ' '850408840' '8556765772' 'MAP'

'A114' '20221208' 'A' 'F' 'AETNA MEDICARE ADVANTRA PLAN ' ' ' 'PO BOX 7405 ' 'LONDON ' 'KY' '407427405' '8883606626' 'MAP'

'A115' '20200922' 'A' 'P' 'AETNA PPO- EXTERNAL RX ' ' ' 'PO BOX 14079 ' 'LEXINGTON ' 'KY' '405124079' '8886323862' 'PPO'

'A116' '20221208' 'A' 'F' 'AETNA MEDICARE ADVANTRA SILVE ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A117' '20221208' 'A' 'F' 'AETNA MEDICARE ASSURE PLAN ' ' ' 'PO BOX 14088 ' 'LEXINGTON ' 'KY' '405124088' '8664091221' 'MAP'

'A118' '20221208' 'A' 'F' 'AETNA MEDICARE ASSURE PREMIER ' ' ' 'PO BOX 61925 ' 'ADAMS ' 'NE' '68301' '8664091221' 'MAP'

'A119' '20221208' 'A' 'F' 'AETNA MEDICARE DUAL PREFERRED ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8664091221' 'MAP'

'A120' '20221208' 'A' 'F' 'AETNA MEDICARE EAGLE PLAN ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8335706670' 'MAP'

'A121' '20221208' 'A' 'F' 'AETNA MEDICARE EXPLORER ELITE ' ' ' 'PO BOX 7405 ' 'LONDON ' 'KY' '407427405' '8882689800' 'MAP'

'A123' '20220203' 'A' 'P' 'AVERA HEALTH PLANS ' ' ' '5300 S BROADBAND LN ' 'SIOUX FALLS ' 'SD' '571082222' '8883222115' 'PPO'

'A124' '20221208' 'A' 'F' 'AETNA MEDICARE PREMIER PLAN ' ' ' 'PO BOX 7405 ' 'LONDON ' 'KY' '407427405' '8335706670' 'MAP'

'A130' '20230510' 'A' 'F' 'AETNA MEDICARE SELECTPLAN ' ' ' 'PO BOX 14088 ' 'LEXINGTON ' 'KY' '405124088' '8006240756' 'MAP'

'A131' '20221208' 'A' 'F' 'ALIGN PREMIER ' ' ' 'PO BOX 4440 ' 'GLEN ALLEN ' 'VA' '230584440' '8443053879' 'MAP'

'A132' '20221208' 'A' 'F' 'ALIGNMENT HEALTH PLAN NC DUAL ' ' ' '2610 NEW BERN AVE STE 100 ' 'RALEIGH ' 'NC' '276101821' '8666342247' 'MAP'

'A133' '20221208' 'A' 'F' 'ALIGNMENT HEALTH THE ONE ' ' ' '1100 W TOWN AND COUNTRY RD STE 1600 ' 'ORANGE ' 'CA' '928684698' '8666342247' 'MAP'

'A134' '20221208' 'A' 'F' 'AMERIGROUP MEDIMEDI PLAN ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8006004441' 'MAP'

'A135' '20221208' 'A' 'F' 'AMERIHEALTH CARITAS VIP CARE ' ' ' 'PO BOX 7139 ' 'LONDON ' 'KY' '407427139' '8665335490' 'MAP'

'A136' '20221229' 'A' 'F' 'ANTHEM L MAINEHEALTH ADVANTAG ' ' ' '301C US ROUTE 1 ' 'SCARBOROUGH ' 'ME' '40749701' '8668042499' 'MAP'

'A138' '20221208' 'A' 'F' 'ANTHEM MEDIBLUEDUALACCESS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8336592531' 'MAP'

'A139' '20221208' 'A' 'F' 'ANTHEM MEDICLUE KROGER ACCESS ' ' ' 'PO BOX 52077 ' 'PHOENIX ' 'AZ' '850722077' '8664389968' 'MAP'

'A140' '20221208' 'A' 'F' 'ASCENSION COMPLETE MICHIGAN A ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8334311356' 'MAP'

'A141' '20221208' 'A' 'F' 'ASCENSION COMPLETE SETON ACCE ' ' ' '5103 KYLE CENTER DR STE 103 ' 'KYLE ' 'TX' '786406164' '5125040855' 'MAP'

'A142' '20221208' 'A' 'F' 'ASCENSION COMPLETE SETON REWA ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8337051358' 'MAP'

'A143' '20221216' 'A' 'F' 'ALOHACARE ADVANTAGE PLUS ' ' ' '1357 KAPIOLANI BLVD STE G101 ' 'HONOLULU ' 'HI' '968144550' '8089736395' 'MAP'

'A144' '20221216' 'A' 'F' 'AMERIVANTAGE DUAL COORDINATIO ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8335570950' 'MAP'

'A145' '20210907' 'A' 'P' 'ALLIED ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' '2831 CAMINO DEL RIO S STE 311 ' 'SAN DIEGO ' 'CA' '921083829' '6192978235' 'PPO'

'A146' '20221216' 'A' 'F' 'ANTHEM MEDIBLUE ACCESS ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8336812636' 'MAP'

'A147' '20230829' 'A' 'F' 'ANTHEM MEDIBLUE COORDINATION ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8004074627' 'MAP'

'A148' '20221216' 'A' 'F' 'ASCENSION COMPLETE AMITA HEAL ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8332935966' 'MAP'

'A149' '20221216' 'A' 'F' 'ASCENSION COMPLETE SAINT THOM ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8339062876' 'MAP'

'A150' '20221216' 'A' 'F' 'ASCENSION COMPLETE SAINT VINC ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8335250824' 'MAP'

'A151' '20221216' 'A' 'F' 'ATRIO SPECIAL NEEDS PLAN ' ' ' '338 JERICHO TPKE # 135 ' 'SYOSSET ' 'NY' '117914507' '5416728620' 'MAP'

'A152' '20221223' 'A' 'F' 'AARP MEDICARE ADVANTAGE ' ' ' 'PO BOX 29675 ' 'HOT SPRINGS NATIONAL' 'AR' '719039675' '8006434845' 'MAP'

'A154' '20221223' 'A' 'F' 'ALTERWOOD ADVANTAGE CHOICE ' ' ' 'PO BOX 4175 ' 'TIMONIUM ' 'MD' '210944175' '6672629412' 'MAP'

'A155' '20221227' 'A' 'F' 'AETNA BETTER HEALTH PREMIER ' ' ' 'PO BOX 982970 ' 'EL PASO ' 'TX' '799989270' '8666002139' 'MAP'

'A156' '20230109' 'A' 'F' 'AETNA MEDICARE PLUS PLAN ' ' ' 'PO BOX 14770 ' 'LEXINGTON ' 'KY' '405124770' '8002825366' 'MAP'

'A157' '20230322' 'A' 'F' 'ALIGNMENT HEALTH PLAN ' ' ' '2339 W HAMMER LN ' 'STOCKTON ' 'CA' '952093052' '8666342247' 'MAP'

'A159' '20230601' 'A' 'F' 'AARP MEDICARE ADVANTAGE ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '3392244191' 'MAP'

'A160' '20230601' 'A' 'F' 'ALIGNMENT HEALTH THE ONE ' ' ' '100 W TOWN AND CNTRY RD ST 1600 ' 'ORANGE ' 'CA' '92868' '6663422247' 'MAP'

'A161' '20230601' 'A' 'F' 'ASCENSION COMPLETE MICHIGAN R ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '6682211339' 'MAP'

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'A267' '20250729' 'A' 'F' 'AETNA MEDICARE VALUE PLUS HMO ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8335706670' 'MAP'

'A268' '20250729' 'A' 'F' 'AETNA MEDICARE VALUE PLUS HMO ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8335706670' 'MAP'

'A269' '20250729' 'A' 'F' 'AETNA MEDICARE VALUE PLUS HMO ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8335706670' 'MAP'

'A270' '20250729' 'A' 'F' 'AETNA MEDICARE VALUE PLUS HMO ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8335706670' 'MAP'

'A272' '20250801' 'A' 'F' 'AETNA MEDICARE VAL PLUS HMO ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8335706670' 'MAP'

'A273' '20250801' 'A' 'F' 'AETNA MEDICARE VAL PLUS HMO ' ' ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8335706670' 'MAP'

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'A275' '20250731' 'A' 'F' 'AGEWELL PACE MEDICARE ' ' ' '5789 STATE FARM DR STE 110 ' 'ROHNERT PARK ' 'CA' '949286308' '8776154437' 'MAP'

'A277' '20250730' 'A' 'F' 'ALIGN KIDNEY CARE HMO CSNP ' ' ' 'PO BOX 40 ' 'GLEN BURNIE ' 'MD' '210600040' '8443053879' 'MAP'

'A278' '20250807' 'A' 'F' 'ALIGNMENT HEALTH ADV PPO PPO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A279' '20250807' 'A' 'F' 'ALIGNMENT HEALTH ADV PPO PPO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A280' '20250730' 'A' 'F' 'ALIGN HLTH ALLCARE PREF HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A281' '20250801' 'A' 'F' 'ALIGNMENT HEALTH BALANCE PPO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A282' '20250730' 'A' 'F' 'ALIGN HLTH BREATHEASY CSNP ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A283' '20250730' 'A' 'F' 'ALIGN HLTH CALPLUSDUALS DSNP ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A284' '20250730' 'A' 'F' 'ALIGN HLTH CLARITY CSNP ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A285' '20250730' 'A' 'F' 'ALIGN HLTH COMMUNITY HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A286' '20250730' 'A' 'F' 'ALIGN HLTH ESRD BALANCE CSNP ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A287' '20250807' 'A' 'F' 'ALIGNMENT HEALTH FREEDOM PPO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A289' '20250730' 'A' 'F' 'ALIGNMENT HEALTH HARMONY HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A290' '20250730' 'A' 'F' 'ALIGN HLTH HEART DIAB CSNP ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

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'A292' '20250730' 'A' 'F' 'ALIGN HLTH HEART DIAB CALPLUS ' ' CSNP ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A293' '20250731' 'A' 'F' 'ALIGN HLTH HEART DIAB CARE ' 'CSNP ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A294' '20250730' 'A' 'F' 'ALIGNMENT HEALTH HEROES HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A295' '20250730' 'A' 'F' 'ALIGNMENT HEALTH LA HMO CSNP ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A296' '20250730' 'A' 'F' 'ALIGN HLTH MY CHOICE HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A297' '20250730' 'A' 'F' 'ALIGN HLTH MY CHOICE HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A298' '20250801' 'A' 'F' 'ALIGNMENT HEALTH MYCHOICE PPO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

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'A300' '20250730' 'A' 'F' 'ALIGN HLTH MY CHOICE CALPLUS ' 'HMO ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A302' '20180410' 'A' 'P' 'ASI ' ' ' 'PO BOX 5809 ' 'FRESNO ' 'CA' '937555809' '8667771320' 'PPO'

'A303' '20250730' 'A' 'F' 'ALIGN HLTH MYCHOICE SEL HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A304' '20250730' 'A' 'F' 'ALIGN HLTH PLAT INSTACART HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A305' '20250730' 'A' 'F' 'ALIGN HLTH PLAT INSTACART HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A306' '20250730' 'A' 'F' 'ALIGNMENT HEALTH SELECT HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A307' '20250730' 'A' 'F' 'ALIGN HLTH SILICON HMO CSNP ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A308' '20250730' 'A' 'F' 'ALIGNMENT HEALTH SMARTHMO HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A309' '20250730' 'A' 'F' 'ALIGNMENT HEALTH SMARTHMO HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A310' '20250730' 'A' 'F' 'ALIGN HLTH SMARTSAVINGS HMO ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A317' '20220203' 'A' 'P' 'HEALTH SMART ' '#NAME?' 'PO BOX 1014 ' 'CHARLESTON ' 'WV' '253241014' '8006248605' 'PPO'

'A319' '20210907' 'A' 'P' 'AULTCARE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 6910 ' 'CANTON ' 'OH' '447060910' '8003448858' 'PPO'

'A320' '20250731' 'A' 'F' 'ALTAMED HLTH SERV CORP PACE ' ' ' 'PO BOX 7280 ' 'LOS ANGELES ' 'CA' '900220980' '8668807805' 'MAP'

'A321' '20250731' 'A' 'F' 'ALTAMED HLTH SERV CORP PACE ' ' ' 'PO BOX 7280 ' 'LOS ANGELES ' 'CA' '900220980' '8668807805' 'MAP'

'A322' '20250807' 'A' 'F' 'ANTHEM BC LIFE AND HEALTH ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8446489540' 'MAP'

'A323' '20250807' 'A' 'F' 'ANTHEM BC LIFE AND HEALTH ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8778113107' 'MAP'

'A332' '20250801' 'A' 'F' 'ANTHEM DUAL ADV 2 PPO DSNP ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8338971343' 'MAP'

'A333' '20231122' 'A' 'D' 'AARP MEDICARE RX PREFER UHC ' ' ' 'PO BOX 30770 ' 'SALT LAKE CITY ' 'UT' '841300770' '8886755575' 'PDP'

'A335' '20250729' 'A' 'F' 'ANTHEM I CARELON CHR CSNP ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A336' '20250729' 'A' 'F' 'ANTHEM I CARELON CHR CSNP ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A337' '20250801' 'A' 'F' 'ANTHEM I CARELON CHRN CARE 2 ' 'CSNP ' '12900 PARK PLAZA DR STE 150 ' 'CERRITOS ' 'CA' '907039329' '8004992793' 'MAP'

'A338' '20250801' 'A' 'F' 'ANTHEM I CARELON CHRN CARE 2 ' 'CSNP ' '12900 PARK PLAZA DR STE 150 ' 'CERRITOS ' 'CA' '907039329' '8004992793' 'MAP'

'A339' '20250729' 'A' 'F' 'ANTHEM I CARELON HOME ISNP ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A340' '20250729' 'A' 'F' 'ANTHEM I CARELON KIDNEY CSNP ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A341' '20250729' 'A' 'F' 'ANTHEM I CARELON KIDNEY CSNP ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A342' '20250729' 'A' 'F' 'ANTHEM I CARELON LUNG CSNP ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A343' '20250729' 'A' 'F' 'ANTHEM I CARELON LUNG CSNP ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A344' '20210907' 'A' 'P' 'NEXCALIBER ' ' ' 'PO BOX 802422 ' 'DALLAS ' 'TX' '753802422' '8007410185' 'PPO'

'A345' '20250801' 'A' 'F' 'ANTHEM I CARELON LUNG CARE 2 ' 'CSNP ' '12900 PARK PLAZA DR STE 150 ' 'CERRITOS ' 'CA' '907039329' '8004992793' 'MAP'

'A346' '20250801' 'A' 'F' 'ANTHEM I CARELON LUNG CARE 2 ' 'CSNP ' '12900 PARK PLAZA DR STE 150 ' 'CERRITOS ' 'CA' '907039329' '8004992793' 'MAP'

'A348' '20250801' 'A' 'F' 'ANTHEM I CARELON MAP HMO ' ' ' '12900 PARK PLAZA DR STE 150 ' 'CERRITOS ' 'CA' '907039329' '8004992793' 'MAP'

'A349' '20250801' 'A' 'F' 'ANTHEM I CARELON MAP HMO ' ' ' '12900 PARK PLAZA DR STE 150 ' 'CERRITOS ' 'CA' '907039329' '8004992793' 'MAP'

'A350' '20250729' 'A' 'F' 'ANTHEM I CARELON MAP 2 HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A351' '20250729' 'A' 'F' 'ANTHEM I CARELON MAP 2 HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A353' '20250801' 'A' 'F' 'ANTHEM I CARELON PREMIUM SAV ' 'HMO ' '12900 PARK PLAZA DR STE 150 ' 'CERRITOS ' 'CA' '907039329' '8004992793' 'MAP'

'A354' '20250729' 'A' 'F' 'ANTHEM I CARELON PREM 2 HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'A355' '20250729' 'A' 'F' 'ANTHEM MEDICARE ADV HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A356' '20250729' 'A' 'F' 'ANTHEM MEDICARE ADV HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A357' '20250730' 'A' 'F' 'ANTHEM MEDICARE ADV HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A358' '20250730' 'A' 'F' 'ANTHEM MEDICARE ADV HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A359' '20250730' 'A' 'F' 'ANTHEM MEDICARE ADV HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A360' '20250730' 'A' 'F' 'ANTHEM MEDICARE ADV HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A361' '20250730' 'A' 'F' 'ANTHEM MEDICARE ADV HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A362' '20250730' 'A' 'F' 'ANTHEM MEDICARE ADV HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A363' '20250730' 'A' 'F' 'ANTHEM MEDICARE ADV HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A364' '20250801' 'A' 'F' 'ANTHEM PRIME HMO POS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8337073130' 'MAP'

'A365' '20250801' 'A' 'F' 'ANTHEM PRIME HMO POS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8337073130' 'MAP'

'A366' '20250801' 'A' 'F' 'ANTHEM PRIME HMO POS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8337073130' 'MAP'

'A367' '20250801' 'A' 'F' 'ANTHEM PRIME HMO POS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8337073130' 'MAP'

'A369' '20250801' 'A' 'F' 'ANTHEM PRIME HMO POS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8337073130' 'MAP'

'A370' '20250801' 'A' 'F' 'ANTHEM PRIME HMO POS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8337073130' 'MAP'

'A371' '20250801' 'A' 'F' 'ANTHEM PRIME HMO POS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8337073130' 'MAP'

'A372' '20250801' 'A' 'F' 'ANTHEM PRIME HMO POS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8337073130' 'MAP'

'A373' '20250730' 'A' 'F' 'ANTHEM SELECT HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A374' '20210907' 'A' 'P' 'ADMINISTRATIVE SOLUTIONS ' 'ATTN HEALTH CLAIMS ' '11373 SOUTHBRIDGE PKWY ' 'ALPHARETTA ' 'GA' '300224469' '6783390211' 'PPO'

'A375' '20250730' 'A' 'F' 'ANTHEM SELECT HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A376' '20250730' 'A' 'F' 'ANTHEM SELECT HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A377' '20250730' 'A' 'F' 'ANTHEM SELECT HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A380' '20250730' 'A' 'F' 'ANTHEM SELECT HMO ' ' ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8882307338' 'MAP'

'A381' '20250807' 'A' 'F' 'ASPIRE HEALTH ADV HMO ' ' ' '10 RAGSDALE DR STE 101 ' 'MONTEREY ' 'CA' '939405776' '8555701600' 'MAP'

'A382' '20250807' 'A' 'F' 'ASPIRE HEALTH PLUS HMO POS ' ' ' '10 RAGSDALE DR STE 101 ' 'MONTEREY ' 'CA' '939405776' '8555701600' 'MAP'

'A383' '20250807' 'A' 'F' 'ASPIRE HEALTH PROTECT HMO ' ' ' '10 RAGSDALE DR STE 101 ' 'MONTEREY ' 'CA' '939405776' '8555701600' 'MAP'

'A384' '20250807' 'A' 'F' 'ASPIRE HEALTH VALUE HMO ' ' ' '10 RAGSDALE DR STE 101 ' 'MONTEREY ' 'CA' '939405776' '8555701600' 'MAP'

'A385' '20250730' 'A' 'F' 'ASTIVA HLTH DELUXE HMO CSNP ' ' ' '765 THE CITY DR S STE 200 ' 'ORANGE ' 'CA' '928684955' '8666889021' 'MAP'

'A386' '20250731' 'A' 'F' 'ASTIVA HLTH WOW N CA HMO CSNP ' ' ' '765 THE CITY DR S STE 200 ' 'ORANGE ' 'CA' '928684955' '8666889021' 'MAP'

'A387' '20250731' 'A' 'F' 'ASTIVA HLTH WOW HMO CSNP ' ' ' '765 THE CITY DR S STE 200 ' 'ORANGE ' 'CA' '928684955' '8666889021' 'MAP'

'A388' '20250730' 'A' 'F' 'ASTIVA HLTH PREMIER N CA HMO ' ' ' '765 THE CITY DR S STE 200 ' 'ORANGE ' 'CA' '928684955' '8666889021' 'MAP'

'A389' '20250730' 'A' 'F' 'ASTIVA HLTH PREMIER HMO ' ' ' '765 THE CITY DR S STE 200 ' 'ORANGE ' 'CA' '928684955' '8666889021' 'MAP'

'A390' '20250730' 'A' 'F' 'ASTIVA HLTH SAVINGS N CA HMO ' ' ' '765 THE CITY DR S STE 200 ' 'ORANGE ' 'CA' '928684955' '8666889021' 'MAP'

'A392' '20250730' 'A' 'F' 'ASTIVA HLTH SAVINGS HMO ' ' ' '765 THE CITY DR S STE 200 ' 'ORANGE ' 'CA' '928684955' '8666889021' 'MAP'

'A427' '20210907' 'A' 'P' 'AMERICAN TRUST ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' '7223 W 95TH ST STE 301 ' 'OVERLAND PARK ' 'KS' '662126177' '8008434121' 'PPO'

'A439' '20210614' 'A' 'Q' 'AMERICAN HEALTHCARE ' 'ATTN RX CLAIMS ' '2351 SUNSET BLVD STE 170 # 899 ' 'ROCKLIN ' 'CA' '957654306' '8008728276' 'PPO'

'A461' '20230830' 'A' 'F' 'ANTHEM MEDIBLUE PRIME ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8337073129' 'MAP'

'A462' '20231017' 'A' 'F' 'ANTHEM FULL DUAL ADV ALIGNED ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8337073129' 'MAP'

'A463' '20210907' 'A' 'P' 'MANAGED BENEFIT ADMINISTRATORS' 'ATTN HEALTH CLAIMS ' 'PO BOX 57340 ' 'MURRAY ' 'UT' '841570340' '9166311225' 'PPO'

'A464' '20240207' 'A' 'F' 'ARCADIAN HEALTH PLAN INC ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '45744708' 'MAP'

'A465' '20231122' 'A' 'F' 'AETNA BETTER HLTH CA INC ' ' ' 'PO BOX 7405 ' 'LONDON ' 'KY' '407427405' '8335606670' 'MAP'

'A470' '20231122' 'A' 'F' 'ANTHEM BC LIFE AND HEALTH ' 'INSURANCE ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8443096996' 'MAP'

'A474' '20231122' 'A' 'F' 'ANTHEM MEDICARE ADVANTAGE ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8882119813' 'MAP'

'A494' '20200325' 'A' 'P' 'MERITAIN HEALTH ' 'ATTN HEALTH CLAIMS ' 'PO BOX 853921 ' 'RICHARDSON ' 'TX' '750853921' '8007654224' 'PPO'

'A515' '20150902' 'A' 'F' 'AETNA MEDICARE ' ' ' 'PO BOX 14079 ' 'LEXINGTON ' 'KY' '405124079' '4128757207' 'MAP'

'A516' '20231221' 'A' 'F' 'AETNA HEALTH OF CA INC. ' ' ' 'PO BOX 7405 ' 'LONDON ' 'KY' '407427405' '8335706670' 'MAP'

'A533' '20161228' 'A' 'P' 'ALASKA TEAMSTERS EMP WELFARE ' 'TRUST ATTN HEALTH CLAIMS ' '520 E 34TH AVE ' 'ANCHORAGE ' 'AK' '995034164' '8004784450' 'PPO'

'A555' '20240208' 'A' 'F' 'AIDS HEALTHCARE FOUNDATION ' ' ' 'PO BOX 46160 ' 'LOS ANGELES ' 'CA' '900460160' '8002630067' 'MAP'

'A579' '20210514' 'A' 'W' 'AMERITAS VISION ' 'ATTN HEALTH CLAIMS ' 'PO BOX 82607 ' 'LINCOLN ' 'NE' '685012607' '8004875553' 'PPO'

'A600' '20240207' 'A' 'F' 'ALIGNMENT HEALTH PLAN ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A601' '20240208' 'A' 'F' 'ALIGNMENT HEALTH PLAN ' ' ' '1100 W TOWN AND COUNTRY RD STE 300 ' 'ORANGE ' 'CA' '928684676' '8666342247' 'MAP'

'A604' '20150826' 'A' 'L' 'PREMIER ACCESS INSURANCE CO ' ' ' 'PO BOX 659010 ' 'SACRAMENTO ' 'CA' '958659010' '9169225000' 'HMO'

'A613' '20161228' 'A' 'P' 'AMD HEALTH PLAN ' 'C/O ZENITH ADMIN INC ' 'PO BOX 11252 ' 'SAN FRANCISCO ' 'CA' '94101' ' ' 'PPO'

'A672' '20210907' 'A' 'P' 'AUTOMATED GRP ADMIN ' ' ' '7605 WESTFIELD DR ' 'FORT WAYNE ' 'IN' '468253381' '2604896447' 'PPO'

'A676' '20190301' 'A' 'P' 'AETNA HEALTH PLANS HMO ' 'NORTHERN/SOUTHERN CA ' 'PO BOX 14079 ' 'LEXINGTON ' 'KY' '405124079' '8006240756' 'HMO'

'A678' '20210806' 'A' 'P' 'ADMINISTRATION SYST CORP ' 'ATTN HEALTH CLAIMS ' 'PO BOX 6392 ' 'GRAND RAPIDS ' 'MI' '495166392' '8108517700' 'PPO'

'A691' '20220203' 'A' 'P' 'ALLIED BENEFIT SYST INC ' 'ATTN HEALTH CLAIMS ' '200 W ADAMS ST STE 500 ' 'CHICAGO ' 'IL' '606065215' '8.00288E+13' 'PPO'

'A696' '20210514' 'A' 'W' 'AVESIS INC ' 'ATTN VISION CLAIMS ' 'PO BOX 38300 ' 'PHOENIX ' 'AZ' '850698300' '8008430558' 'PPO'

'A718' '20211119' 'A' 'P' 'ASSURED BENEFITS ADMIN ' 'ATTN ANGIE CARRASCO ' '4855 N MESA ST STE 130 ' 'EL PASO ' 'TX' '799125939' '8002477114' 'PPO'

'A753' '20210907' 'A' 'P' 'ADVANCED BENEFIT SOLUTIONS ' 'ATTN DIANE WEILAND-ROGONE ' 'PO BOX 71490 ' 'PHOENIX ' 'AZ' '850501009' '8884191094' 'PPO'

'A754' '20220203' 'A' 'P' 'ADVANTEK BENEFIT ADMINISTRATOR' 'ATTN HEALTH CLAIMS ' '7370 N PALM AVE STE 101 ' 'FRESNO ' 'CA' '937115782' '8665567655' 'TPM'

'A755' '20201116' 'A' 'L' 'BLUE CROSS/BLUE SHIELD DENTAL ' 'PPO ' 'PO BOX 1505 ' 'RED BLUFF ' 'CA' '960801505' '8008283677' 'PPO'

'A771' '20161228' 'A' 'P' 'AMERA SOUTH ' 'ATTN POLLY SIMMS ' 'PO BOX 1286 ' 'SAVANNAH ' 'GA' '314021286' '9122316959' 'PPO'

'A803' '20201117' 'A' 'L' 'ANTHEM BLUE CROSS/BLUE SHIELD ' 'ATTN: DENTAL CLAIMS ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8778335742' 'PPO'

'A805' '20210907' 'A' 'P' 'AVMED HEALTH PLANS ' ' ' '4300 NW 89TH BLVD ' 'GAINESVILLE ' 'FL' '326065688' '8003460231' 'PPO'

'A807' '20150831' 'A' 'F' 'ALAMEDA ALLIANCE FOR HEALTH ' ' ' 'PO BOX 2460 ' 'ALAMEDA ' 'CA' '945010460' '5107474500' 'HMO'

'A810' '20170221' 'A' 'P' 'ANTHEM BLUE CROSS BLUE SHIELD ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8666453269' 'PPO'

'A811' '20200313' 'A' 'F' 'UNITED HEALTHCARE ' 'ATTN:APIPA-CLAIMS ' 'PO BOX 5290 ' 'KINGSTON ' 'NY' '124025290' '8003484058' 'MAP'

'A812' '20150213' 'A' 'F' 'HUMANA ' 'ATTN:LOUISVILLEWATERSIDECLAIM ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'A813' '20150831' 'A' 'F' 'ATRIO HEALTH PLANS ' ' ' 'PO BOX 5490 ' 'SALEM ' 'OR' '973040490' '5416728620' 'MAP'

'A814' '20200313' 'A' 'F' 'ANTHEM BLUE CROSS ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8882909160' 'MAP'

'A815' '20250528' 'A' 'P' 'ALLIED NATIONAL ' ' ' 'PO BOX 29186 ' 'SHAWNEE MISSION ' 'KS' '662019186' '8.00826E+13' 'PPO'

'A816' '20200313' 'A' 'F' 'ANTHEM BLUE CROSS ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8882909160' 'MAP'

'A817' '20150831' 'A' 'F' 'ANTHEM BLUE CROSS ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8882909160' 'MAP'

'A818' '20150902' 'A' 'F' 'ANTHEM BLUE CROSS ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8882909160' 'MAP'

'A819' '20150213' 'A' 'F' 'ANTHEM BLUE CROSS ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8882909160' 'MAP'

'A820' '20160921' 'A' 'F' 'ANTHEM BLUE CROSS ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8882909160' 'MAP'

'A821' '20150213' 'A' 'F' 'ANTHEM BLUE CROSS ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8882909160' 'MAP'

'A822' '20220203' 'A' 'P' 'ASRM ' ' ' '505 S LENOLA RD STE 231 ' 'MOORESTOWN ' 'NJ' '80571549' '8663750775' 'PPO'

'A823' '20220118' 'A' 'F' 'ANTHEM MEDIBLUE ACCESS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8556907801' 'MAP'

'A999' '20150831' 'A' 'A' 'PROVIDER MEDICARE PART A ' 'REGULAR COMPLAINTS ' '591 N 7TH ST FL 2 ' 'SACRAMENTO ' 'CA' '958110234' '9163239693' 'TPM'

'B001' '20230829' 'A' 'F' 'BRANDMAN CENTERS FOR SENIOR CA' 'CLAIMS ' '7150 TAMPA AVE ' 'RESEDA ' 'CA' '913353700' '8552273745' 'MAP'

'B002' '20190723' 'A' 'P' 'MU BLUE PREFERRED ' ' ' 'PO BOX 14116 ' 'LEXINGTON ' 'KY' '405124116' '8008425975' 'PPO'

'B003' '20230831' 'A' 'F' 'BANNER MEDICARE ADVANTAGE DUA ' ' ' 'PO BOX 38549 ' 'PHOENIX ' 'AZ' '850698549' '8778743930' 'MAP'

'B004' '20150831' 'A' 'P' 'BLUE CROSS OF NEW JERSEY ' 'ATTN HEALTH CLAIMS ' 'PO BOX 844 ' 'NEWARK ' 'NJ' '71010844' '8006244756' 'PPO'

'B005' '20230830' 'A' 'F' 'BRANDMAN HEALTH PLAN ' ' ' 'PO BOX 17960 ' 'ENCINO ' 'CA' '914167960' '8886975662' 'MAP'

'B006' '20220301' 'A' 'F' 'BLUEADVANTAGE SAPPHIRE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8008312583' 'MAP'

'B007' '20220302' 'A' 'F' 'BLUECHIP FOR MEDICARE VALUE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8002670439' 'MAP'

'B008' '20230831' 'A' 'F' 'BLUESHIELD INSPIRE ' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8007764466' 'MAP'

'B009' '20150831' 'A' 'L' 'CCPOA BENEFITS TRUST FUND ' 'ATTN DENTAL CLAIMS ' '2515 VENTURE OAKS WAY STE 200 ' 'SACRAMENTO ' 'CA' '958334235' '9163726676' 'PPO'

'B011' '20220330' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8774862048' 'MAP'

'B013' '20220330' 'A' 'F' 'BLUEPATHWAY PLAN 1 ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8004468331' 'MAP'

'B014' '20220330' 'A' 'F' 'BSW SENIORCARE ADVANTAGE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8663343141' 'MAP'

'B016' '20220330' 'A' 'F' 'BLUE ADVANTAGE COMPLETE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8882348266' 'MAP'

'B019' '20201113' 'A' 'E' 'BLUE SHIELD OF CA VISION ' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8008776372' 'PPO'

'B020' '20190613' 'A' 'E' 'BLUE SHIELD OF CA - PED VISION' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8005416652' 'PPO'

'B021' '20220510' 'A' 'F' 'BLUE MEDICARE ESSENTIAL ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8883104110' 'MAP'

'B023' '20190613' 'A' 'L' 'BLUE SHIELD OF CA - FEP DENTAL' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8005416652' 'PPO'

'B024' '20220510' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '6516625513' 'MAP'

'B025' '20190613' 'A' 'L' 'BLUE SHIELD OF CA - PED DENTAL' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8005416652' 'PPO'

'B026' '20220510' 'A' 'F' 'ANTHEM MEDIBLUE COORDINATION ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8553102473' 'MAP'

'B027' '20190613' 'A' 'L' 'BLUE SHIELD OF CA - DENTAL HMO' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8005416652' 'HMO'

'B029' '20200611' 'A' 'L' 'BLUE SHIELD OF CA DENTAL PLAN ' 'ATTN DENTAL CLAIMS ' 'PO BOX 272590 ' 'CHICO ' 'CA' '959272590' '8005858111' 'PPO'

'B030' '20220602' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8777748592' 'MAP'

'B031' '20220602' 'A' 'F' 'COMMUNITY BLUE MEDICARE HMO ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8882345397' 'MAP'

'B032' '20190613' 'A' 'L' 'BLUE SHIELD OF CA- FEP DENTAL ' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' ' ' 'HMO'

'B033' '20220602' 'A' 'F' 'BLUE MEDICARE ADVANTAGE PLUS ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8004468331' 'MAP'

'B034' '20220610' 'A' 'F' 'FREEDOM BLUE PPO CLASSIC ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8005508722' 'MAP'

'B035' '20220914' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' '5660 UNIVERSITY PKWY ' 'WINSTON SALEM ' 'NC' '271051312' '8778956437' 'MAP'

'B036' '20220914' 'A' 'F' 'BLUECARE PLUS ' ' ' '1 CAMERON HILL CIR STE 2 ' 'CHATTANOOGA ' 'TN' '374020002' '8003325762' 'MAP'

'B037' '20220914' 'A' 'F' 'BLUEMEDICARE COMPLETE ' ' ' 'PO BOX 660295 ' 'DALLAS ' 'TX' '752660295' '8009266565' 'MAP'

'B040' '20221208' 'A' 'F' 'BANNER MEDICARE ADVANTAGE PRI ' ' ' 'PO BOX 38549 ' 'PHOENIX ' 'AZ' '850698549' '6024620831' 'MAP'

'B042' '20201113' 'A' 'P' 'BLUE CROSS FEP ' 'FEDERAL EMPLOYEE PROGRAM ' 'PO BOX 105557 ' 'ATLANTA ' 'GA' '303485557' '8002849093' 'PPO'

'B043' '20250114' 'A' 'P' 'ANTHEM BLUE CROSS ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8006776669' 'PPO'

'B059' '20190723' 'A' 'P' 'ANTHEM BLUE CROSS OF CA EPO ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8558541438' 'HMO'

'B061' '20200318' 'A' 'P' 'BLUE CROSS OF WESTERN PA ' 'OUT OF STATE CLAIMS ' 'PO BOX 697 ' 'PITTSBURGH ' 'PA' '152300697' '8002354999' 'PPO'

'B062' '20200318' 'A' 'P' 'BLUE CARE NETWORK ' 'ATTN HEALTH CLAIMS ' 'PO BOX 68737 ' 'GRAND RAPIDS ' 'MI' '495168737' '6169417823' 'PPO'

'B064' '20221208' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8777748592' 'MAP'

'B066' '20221208' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' 'PO BOX 4555 ' 'SCRANTON ' 'PA' '185056555' '8777748592' 'MAP'

'B067' '20221208' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' 'PO BOX 4555 ' 'SCRANTON ' 'PA' '185056555' '8777748592' 'MAP'

'B068' '20230510' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8777748592' 'MAP'

'B069' '20221208' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' 'PO BOX 100300 ' 'COLUMBIA ' 'SC' '292023300' '8886302583' 'MAP'

'B070' '20221208' 'A' 'F' 'BLUE MEDICARE ADVANTAGE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8777237702' 'MAP'

'B071' '20221208' 'A' 'F' 'BLUE MEDICARE ADVANTAGE ESSEN ' ' ' 'PO BOX 4555 ' 'SCRANTON ' 'PA' '185056555' '8665087140' 'MAP'

'B072' '20221208' 'A' 'F' 'BLUE MEDICARE ESSENTIAL PLUS ' ' ' 'PO BOX 2291 ' 'DURHAM ' 'NC' '277022291' '8883104110' 'MAP'

'B074' '20230712' 'A' 'F' 'BLUEMEDICARE PREMIER ' ' ' 'PO BOX 30016 ' 'PITTSBURGH ' 'PA' '152220330' '8444631088' 'MAP'

'B076' '20221208' 'A' 'F' 'BLUEMEDICARE VALUE ' ' ' 'PO BOX 1798 ' 'JACKSONVILLE ' 'FL' '322310014' '8009266565' 'MAP'

'B078' '20221208' 'A' 'F' 'BSW SENIORCARE ADVANTAGE ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8663343141' 'MAP'

'B079' '20221216' 'A' 'F' 'BLUE CROSS MEDICARE ADVANTAGE ' ' ' 'PO BOX 4555 ' 'SCRANTON ' 'PA' '185056555' '8777748592' 'MAP'

'B081' '20221216' 'A' 'F' 'BLUEPATHWAY ' ' ' 'PO BOX 2924 ' 'PHOENIX ' 'AZ' '850622924' '8004468331' 'MAP'

'B082' '20221216' 'A' 'F' 'BRIGHT ADVANTAGE PART B SAVIN ' ' ' 'PO BOX 16275 ' 'READING ' 'PA' '196126275' '8449264521' 'MAP'

'B083' '20210907' 'A' 'P' 'REGENCE LIFE AND HEALTH ' 'ATTN HEALTH CLAIMS ' 'PO BOX 30272 ' 'SALT LAKE CITY ' 'UT' '841300272' '8883672116' 'PPO'

'B085' '20230426' 'A' 'F' 'BRIGHT ADVANTAGE PART B SAVIN ' ' ' 'PO BOX 853960 ' 'RICHARDSON ' 'TX' '750853946' '8449264521' 'MAP'

'B087' '20221216' 'A' 'F' 'BUCKEYE HEALTH PLAN ' ' ' '4349 EASTON WAY STE 120 ' 'COLUMBUS ' 'OH' '432196114' '8665498289' 'MAP'

'B088' '20221223' 'A' 'F' 'BCN ADVANTAGE PRIME VALUE ' ' ' 'PO BOX 68753 ' 'GRAND RAPIDS ' 'MI' '495168753' '8004503680' 'MAP'

'B089' '20221223' 'A' 'F' 'BLUECROSS TOTAL VALUE ' ' ' 'PO BOX 100300 ' 'COLUMBIA ' 'SC' '292023300' '8552042744' 'MAP'

'B095' '20221223' 'A' 'F' 'BLUEMEDICARE PREMIER CHOICE ' ' ' '4855 TOWN CENTER PKWY ' 'JACKSONVILLE ' 'FL' '322468437' '8442014934' 'MAP'

'B096' '20221223' 'A' 'F' 'BRIGHT ADVANTAGE HEALTH DOLLA ' ' ' 'PO BOX 853960 ' 'RICHARDSON ' 'TX' '750853946' '8442217736' 'MAP'

'B097' '20221223' 'A' 'F' 'BSHS PACE BIENVIVIR SENIOR HE ' ' ' '2300 MCKINLEY AVE ' 'EL PASO ' 'TX' '799302240' '9155623444' 'MAP'

'B099' '20230426' 'A' 'F' 'BRAVEN MEDICARE PLUS ' ' ' 'PO BOX 820 ' 'NEWARK ' 'NJ' '71010820' '8332728360' 'MAP'

'B100' '20150304' 'A' 'D' 'HORIZON BC/BS OF NEW JERSEY ' ' ' '3 PENN PLZ E # PP-13Q ' 'NEWARK ' 'NJ' '71052258' '9734667894' 'PDP'

'B102' '20230109' 'A' 'F' 'BRAVEN MEDICARE CHOICE ' ' ' 'PO BOX 199 ' 'NEWARK ' 'NJ' '71010199' '8332728360' 'MAP'

'B105' '20230712' 'A' 'F' 'BLUE KC SECURE ' ' ' '2301 MAIN ST ' 'KANSAS CITY ' 'MO' '641082429' '6650877140' 'MAP'

'B113' '20150831' 'A' 'D' 'HMSA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 44500 ' 'HONOLULU ' 'HI' '968044500' '8089485110' 'PDP'

'B115' '20230322' 'A' 'F' 'BLUE ADVANTAGE ' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8665087145' 'MAP'

'B117' '20240207' 'A' 'F' 'BLUE SHIELD 65 PLUS HMO ' ' ' 'PO BOX 927 ' 'WOODLAND HILLS ' 'CA' '913650927' '8007764466' 'MAP'

'B119' '20231010' 'A' 'D' 'BANNER MEDICARE SIMPLE RX ' ' ' '2701 E ELVIRA RD ' 'TUCSON ' 'AZ' '857567124' '8445491859' 'PDP'

'B122' '20240207' 'A' 'F' 'BLUE SHIELD ADVANTAGE OPTIMUM ' ' PLAN ' 'PO BOX 927 ' 'WOODLAND HILLS ' 'CA' '913650927' '8007764466' 'MAP'

'B124' '20150831' 'A' 'P' 'BENEFIT ADMINISTRATIVE SERVICE' 'ATTN HEALTH CLAIMS ' 'PO BOX 4509 ' 'ROCKFORD ' 'IL' '611104509' '8002497947' 'PPO'

'B125' '20150831' 'A' 'P' 'BANNER CHOICE PLUS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 16423 ' 'MESA ' 'AZ' '852116423' '8008272464' 'PPO'

'B128' '20230601' 'A' 'F' 'BLUE MEDICARE ADVANTAGE CHOIC ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '92666565' 'MAP'

'B129' '20241017' 'A' 'F' 'BOLDAGE PACE ' ' ' '1075 STEPHENSON AVE ' 'OCEANPORT ' 'NJ' '77571242' '7328063205' 'MAP'

'B151' '20150831' 'A' 'P' 'HEALTH DESIGNS PLUS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2853 ' 'CLINTON ' 'IA' '527332853' '8772863555' 'PPO'

'B156' '20210106' 'A' 'P' 'REGENCE BLUE SHIELD ' 'ATTN OUT OF STATE CLAIMS ' 'PO BOX 1106 ' 'LEWISTON ' 'ID' '835011106' '2064643791' 'PPO'

'B161' '20161228' 'A' 'P' 'TEMPORARY FILE FOR IT ' ' ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '9165551212' 'PPO'

'B168' '20210907' 'A' 'P' 'BENEFIT SOLUTION INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 385 ' 'TAYLORSVILLE ' 'NC' '286810385' '4257717359' 'PPO'

'B170' '20210415' 'A' 'L' 'AMERITAS DENTAL ' 'ATTN DENTAL CLAIMS ' 'PO BOX 82520 ' 'LINCOLN ' 'NE' '685012520' '8006534427' 'PPO'

'B186' '20200318' 'A' 'P' 'EMPLOYEE BENEFIT ADMIN SVCS ' 'ATTN HEALTH CLAIMS ' '4160 DUBLIN BLVD STE 400 ' 'DUBLIN ' 'CA' '945687756' '8002673232' 'PPO'

'B202' '20200325' 'A' 'D' 'BC/BS OF NORTH CAROLINA ' ' ' 'PO BOX 3559 ' 'DURHAM ' 'NC' '277023559' '3362014459' 'PDP'

'B212' '20161228' 'A' 'P' 'TEMPORARY ADD FOR IT ' ' ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '9165551212' 'PPO'

'B219' '20241121' 'A' 'P' 'BLUE CROSS/SHIELD OUT OF STATE' 'OUT OF STATE CLAIMS ' 'PO BOX 1505 ' 'RED BLUFF ' 'CA' '960801505' '8006762583' 'PPO'

'B241' '20161228' 'A' 'P' 'BNAI BRITH ' 'ATTN HEALTH CLAIMS ' 'PO BOX 155 ' 'SCRANTON ' 'PA' '185040155' '8007232624' 'PPO'

'B242' '20200318' 'A' 'P' 'CAREFIRST B/C & B/S ' 'ATTN CHRIS PUFFENBARGER ' 'PO BOX 1725 ' 'CUMBERLAND ' 'MD' '215011725' '8006288544' 'PPO'

'B244' '20190722' 'A' 'P' 'HIGHMARK BLUE CROSSBLUE SHIELD' 'ATTN OUT OF STATE CLAIMS ' 'PO BOX 890062 ' 'CAMP HILL ' 'PA' '170890062' '7173025000' 'PPO'

'B248' '20150902' 'A' 'L' 'BEST LIFE ASSURANCE COMPANY ' 'ATTN LEONIE YIM ' 'PO BOX 890 ' 'MERIDIAN ' 'ID' '836800890' '8004330088' 'PPO'

'B272' '20150831' 'A' 'P' 'BENEFIT MANAGEMENT GROUP ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1090 ' 'GREAT BEND ' 'KS' '675301090' '8002901368' 'PPO'

'B278' '20211020' 'A' 'P' 'BOON ADMINISTRATIVE SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 211637 ' 'EAGAN ' 'MN' '551213637' '8668684139' 'PPO'

'B294' '20250729' 'A' 'F' 'BLUE SHIELD 65 PLUS HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B295' '20150831' 'A' 'P' 'SIMPLIFIED FUNDING CONCEPTS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 928 ' 'FINDLAY ' 'OH' '458390928' '8005235789' 'PPO'

'B296' '20210907' 'A' 'P' 'BOON-CHAPMAN ' 'ATTN LISA CHARLEZ ' 'PO BOX 9201 ' 'AUSTIN ' 'TX' '787669201' '8002529653' 'PPO'

'B297' '20250729' 'A' 'F' 'BLUE SHIELD 65 PLUS HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B298' '20250729' 'A' 'F' 'BLUE SHIELD 65 PLUS HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B299' '20250729' 'A' 'F' 'BLUE SHIELD 65 PLUS HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B300' '20250729' 'A' 'F' 'BLUE SHIELD 65 PLUS HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B301' '20200325' 'A' 'P' 'MULTIPLAN ' ' ' '115 5TH AVE ' 'NEW YORK ' 'NY' '100031004' '8008771444' 'HMO'

'B302' '20250729' 'A' 'F' 'BLUE SHIELD 65 PLUS HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B304' '20250729' 'A' 'F' 'BLUE SHIELD 65 PLU CHOICE HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B305' '20250729' 'A' 'F' 'BLUE SHIELD 65 PLUS 2 HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B310' '20250806' 'A' 'F' 'BLUE SHIELD ADV OPTIMUM HMO ' ' ' 'PO BOX 927 ' 'WOODLAND HILLS ' 'CA' '913650927' '8007764466' 'MAP'

'B311' '20250806' 'A' 'F' 'BLUE SHIELD ADV OPTIMUM 1 HMO ' ' ' 'PO BOX 927 ' 'WOODLAND HILLS ' 'CA' '913650927' '8007764466' 'MAP'

'B312' '20250730' 'A' 'F' 'BLUE SHIELD INSPIRE HMO DSNP ' ' ' 'PO BOX 927 ' 'WOODLAND HILLS ' 'CA' '913650927' '8004524413' 'MAP'

'B315' '20250729' 'A' 'F' 'BLUE SHIELD INSPIRE HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B316' '20250729' 'A' 'F' 'BLUE SHIELD INSPIRE HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B317' '20250729' 'A' 'F' 'BLUE SHIELD INSPIRE HMO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B318' '20250801' 'A' 'F' 'BLUE SHIELD SELECT PPO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B323' '20250801' 'A' 'F' 'BLUE SHIELD SELECT PPO ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8007764466' 'MAP'

'B326' '20250730' 'A' 'F' 'BLUE SHIELD TTL DUAL HMO DSNP ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8004524413' 'MAP'

'B327' '20250730' 'A' 'F' 'BLUE SHIELD TTL DUAL HMO DSNP ' ' ' 'PO BOX 272640 ' 'CHICO ' 'CA' '959272640' '8004524413' 'MAP'

'B330' '20250806' 'A' 'F' 'BOLDAGE PACE DUAL PACE ' ' ' '4837 E MCKINLEY AVE ' 'FRESNO ' 'CA' '937033532' '8558012653' 'MAP'

'B332' '20250807' 'A' 'F' 'BOLDAGE PACE MEDICARE ' ' ' '4837 E MCKINLEY AVE ' 'FRESNO ' 'CA' '937033532' '8558012653' 'MAP'

'B333' '20250807' 'A' 'F' 'BRANDMAN CENTERS DUAL PACE ' ' ' '7150 TAMPA AVE ' 'RESEDA ' 'CA' '913353700' '8187743274' 'MAP'

'B334' '20250807' 'A' 'F' 'BRANDMAN CENTERS MEDI PACE ' ' ' '7150 TAMPA AVE ' 'RESEDA ' 'CA' '913353700' '8187743274' 'MAP'

'B362' '20200318' 'A' 'P' 'EMPLOYER DRIVEN INS SERVICES ' 'ATTN JANET STEBBINS ' 'PO BOX 7809 ' 'VISALIA ' 'CA' '932907809' '8888867973' 'PPO'

'B364' '20210907' 'A' 'P' 'HEALTHNOW ADMIN SERVICES ' 'ATTN PAUL GRAVES ' '801 LAKEVIEW DR STE 301 ' 'BLUE BELL ' 'PA' '194221961' '8008832000' 'PPO'

'B367' '20210907' 'A' 'P' 'MAESTRO HEALTH ' ' ' '2401 SARDIS RD N STE 110 ' 'CHARLOTTE ' 'NC' '282277722' '8002281803' 'PPO'

'B386' '20160421' 'A' 'P' 'BENEFIT ADMIN SYST. ' 'ATTN HEALTH CLAIMS ' '17475 JOVANNA DR ' 'HOMEWOOD ' 'IL' '604301020' '8776250205' 'PPO'

'B414' '20190301' 'A' 'P' 'BLUE SHIELD OF CALIFORNIA HMO ' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8004246521' 'HMO'

'B418' '20200429' 'A' 'P' 'BLUE SHIELD OF CA - HMO ' 'EXTERNAL RX ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8005416652' 'HMO'

'B438' '20180511' 'A' 'P' 'TUFTS HEALTH PLAN ' 'ATTN HEALTH CLAIMS ' '705 MOUNT AUBURN ST ' 'WATERTOWN ' 'MA' '24721508' '8005330090' 'PPO'

'B463' '20231122' 'A' 'F' 'BLUE CROSS OF CALIFORNIA ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8882119813' 'MAP'

'B513' '20210614' 'A' 'Q' 'BENECARD PBF ' 'PRESCRIPTIONS CLAIMS ' '5040 RITTER RD ' 'MECHANICSBURG ' 'PA' '170554879' '8004790031' 'PPO'

'B517' '20210907' 'A' 'P' 'BOULDER ADMIN SERVICES INC. ' ' ' 'PO BOX 1046 ' 'BOULDER ' 'MT' '596321046' '4062253699' 'PPO'

'B667' '20161228' 'A' 'E' 'BLUE SHIELD OF PA ' 'ATTN VISION CLAIMS ' 'PO BOX 149 ' 'CAMP HILL ' 'PA' '170010149' '8008165527' 'PPO'

'B668' '20190613' 'A' 'P' 'BLUE SHIELD OF CA - FEP HMO ' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8005416652' 'HMO'

'B700' '20201113' 'A' 'P' 'BLUE SHIELD FEP ' 'FEDERAL EMPLOYEE PROGRAM ' 'PO BOX 272510 ' 'CHICO ' 'CA' '959272510' '8003227319' 'PPO'

'B977' '20150909' 'A' 'D' 'BLUE RX OPTION I ' 'ATTN. PART D CLAIMS ' 'PO BOX 14429 ' 'LEXINGTON ' 'KY' '405124429' '8885439212' 'PDP'

'C001' '20150909' 'A' 'F' 'COMMUNITY ELDERCARE SAN DIEGO ' 'ATTN: CLAIMS ' '328 MAPLE ST ' 'SAN DIEGO ' 'CA' '921036522' '6192396900' 'MAP'

'C002' '20150909' 'A' 'F' 'CAREMORE HEALTH PLAN ' 'CLAIMS ' 'PO BOX 366 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'C003' '20220914' 'A' 'F' 'CAREOREGON AAVANTAGE PLUS ' ' ' 'PO BOX 40328 ' 'PORTLAND ' 'OR' '972400328' '8887123258' 'MAP'

'C004' '20161228' 'A' 'P' 'CLAIMS MGMT SERV ' 'ATTN HEALTH CLAIMS ' 'PO BOX 10888 ' 'GREEN BAY ' 'WI' '543070888' '9204971589' 'PPO'

'C005' '20150909' 'A' 'F' 'CARE IMPROVEMENT PLUS ' 'ATTN. CLAIMS DEPARTMENT ' 'PO BOX 488 ' 'LINTHICUM ' 'MD' '210900488' '8666793119' 'MAP'

'C010' '20240229' 'A' 'P' 'BLUE SHIELD OF CALIFORNIA PPO ' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8005416652' 'PPO'

'C011' '20230830' 'A' 'F' 'CARE IMPROVEMENT PLUS ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8669771977' 'MAP'

'C012' '20150902' 'A' 'F' 'CARE IMPROVEMENT PLUS ' ' ' 'PO BOX 488 ' 'LINTHICUM ' 'MD' '210900488' '8666793119' 'MAP'

'C014' '20190723' 'A' 'P' 'CENTURY HEALTHCARE ' 'C/O WEB TPA ' 'PO BOX 2256 ' 'GRAPEVINE ' 'TX' '760992256' '9776852432' 'PPO'

'C015' '20200318' 'A' 'P' 'CBA ADMINISTRATORS ' ' ' '4704 W JENNIFER AVE STE 104 ' 'FRESNO ' 'CA' '937226419' '8007094734' 'PPO'

'C016' '20150904' 'A' 'P' 'CHRISTIAN HEALTH MINISTRIES ' ' ' '127 HAZELWOOD AVE ' 'BARBERTON ' 'OH' '442031316' '8007916225' 'HMO'

'C017' '20200429' 'A' 'P' 'BLUE SHIELD - PPO EXTERNAL RX ' ' ' 'PO BOX 272540 ' 'CHICO ' 'CA' '959272540' '8005416652' 'PPO'

'C018' '20220914' 'A' 'F' 'CIGNA TOTALCARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8009971654' 'MAP'

'C019' '20220914' 'A' 'F' 'CIGNA TOTALCARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8009974654' 'MAP'

'C020' '20170526' 'A' 'F' 'CAREMORE HEALTH PLAN ' ' ' 'PO BOX 366 MSC 6110 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'C021' '20170526' 'A' 'F' 'CAREMORE HEALTH PLAN ' ' ' 'PO BOX 366 MSC 6110 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'C022' '20170526' 'A' 'F' 'CAREMORE HEALTH PLAN ' ' ' 'PO BOX 366 MSC 6110 ' 'ARTESIA ' 'CA' '907020366' '8004992793' 'MAP'

'C023' '20200205' 'A' 'D' 'CLEAR SPRING HEALTH VALUE RX ' 'ATTN: CLAIMS ' 'PO BOX 4048 ' 'SCRANTON ' 'PA' '185056048' '8773841241' 'PDP'

'C024' '20220302' 'A' 'F' 'COMMUNITY HEALTH PLAN ' ' ' '1111 3RD AVE STE 400 ' 'SEATTLE ' 'WA' '981013207' '8009420247' 'MAP'

'C025' '20220330' 'A' 'F' 'CIGNA PREFERRED MEDICARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8006683813' 'MAP'

'C026' '20170804' 'A' 'P' 'CERNER ' ' ' 'PO BOX 188061 ' 'CHATTANOOGA ' 'TN' '374228061' '8777651033' 'PPO'

'C027' '20220914' 'A' 'F' 'CIGNA TOTALCARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8006683813' 'MAP'

'C029' '20220914' 'A' 'F' 'CIGNA TOTALCARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8006683813' 'MAP'

'C030' '20221229' 'A' 'F' 'CCA ONE CARE ' ' ' 'PO BOX 548 ' 'GREENLAND ' 'NH' '38400548' '8666102273' 'MAP'

'C031' '20150902' 'A' 'P' 'ANTHEM BLUECROSS/BLUESHIELD WI' 'ATTN HEALTH CLAIMS ' 'PO BOX 10888 ' 'GREEN BAY ' 'WI' '543070888' '9204971589' 'PPO'

'C032' '20221208' 'A' 'F' 'CIGNA PREFERRED MEDICARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8006683813' 'MAP'

'C033' '20221208' 'A' 'F' 'CIGNA PREFERRED MEDICARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8006683813' 'MAP'

'C034' '20150811' 'A' 'D' 'COLORADO ACCESS VISTA MEDICARE' ' ' '10065 E HARVARD AVE STE 600 ' 'DENVER ' 'CO' '802315963' '8774416032' 'PDP'

'C035' '20221208' 'A' 'F' 'CIGNA TOTALCARE ' ' ' 'PO BOX 20002 ' 'NASHVILLE ' 'TN' '372024000' '8006683813' 'MAP'

'C037' '20221208' 'A' 'F' 'CLEAR SPRING HEALTH ESSENTIAL ' ' ' 'PO BOX 660907 ' 'DALLAS ' 'TX' '752660907' '8773644566' 'MAP'

'C038' '20221208' 'A' 'F' 'CLOVER HEALTH CHOICE VALUE ' ' ' 'PO BOX 3236 ' 'SCRANTON ' 'PA' '185050236' '2014149690' 'MAP'

'C039' '20221208' 'A' 'F' 'COXHEALTH MEDICARE ADVANTAGE ' ' ' 'PO BOX 5750 ' 'SPRINGFIELD ' 'MO' '658015750' '8002057665' 'MAP'

'C040' '20221216' 'A' 'F' 'CALOPTIMA PACE ' ' ' 'PO BOX 11037 ' 'ORANGE ' 'CA' '928568137' '8557852584' 'MAP'

'C041' '20221216' 'A' 'F' 'CARESOURCE MYCARE OHIO ' ' ' 'PO BOX 8730 ' 'DAYTON ' 'OH' '454018730' '8554753163' 'MAP'

'C042' '20190723' 'A' 'L' 'HEALTH SCOPE BENEFITS ' 'ATTN KELLY CARUTHERS ' 'PO BOX 99004 ' 'LUBBOCK ' 'TX' '794909004' '8008316154' 'PPO'

'C043' '20230712' 'A' 'F' 'CDPHP FLEX RX PPO ' ' ' '500 PATROON CREEK BLVD ' 'ALBANY ' 'NY' '122065006' '5186413950' 'MAP'

'C044' '20230417' 'A' 'F' 'CIGNA PREFERRED MEDICARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8006683813' 'MAP'

'C045' '20230104' 'A' 'F' 'CENTERS PLAN FOR MA CARE ' ' ' '75 VANDERBILT AVE ' 'STATEN ISLAND ' 'NY' '103042604' '8779409330' 'MAP'

'C046' '20230505' 'A' 'F' 'CARESOURCE DUAL ADVANTAGE ' ' ' 'PO BOX 8738 ' 'DAYTON ' 'OH' '454018738' '8332302020' 'MAP'

'C047' '20230728' 'A' 'F' 'ALLCARE PACE ' ' ' '2166 NW VINE ST ' 'GRANTS PASS ' 'OR' '975268413' '5414748000' 'MAP'

'C050' '20250327' 'A' 'Q' 'CARELON RX ' ' ' 'PO BOX 9054 ' 'OXNARD ' 'CA' '930319054' '8332930659' 'TPP'

'C054' '20250805' 'A' 'F' 'CALOPTIMA HLTH ONE CARE DSNP ' 'HMO ' '505 CITY PKWY W ' 'ORANGE ' 'CA' '928682924' '8774122734' 'MAP'

'C055' '20250805' 'A' 'F' 'CALOPTIMA HLTH ONE CARE DSNP ' 'FLEX PLUS HMO ' '505 CITY PKWY W ' 'ORANGE ' 'CA' '928682924' '8774122734' 'MAP'

'C056' '20250806' 'A' 'F' 'CALOPTIMA HEALTH PACE PACE ' ' ' 'PO BOX 11037 ' 'ORANGE ' 'CA' '928568137' '7142468600' 'MAP'

'C057' '20250806' 'A' 'F' 'CALOPTIMA HEALTH PACE PACE ' ' ' 'PO BOX 11037 ' 'ORANGE ' 'CA' '928568137' '7142468600' 'MAP'

'C058' '20250806' 'A' 'F' 'CAREADV HMO DSNP ' ' ' '801 GATEWAY BLVD STE 100 ' 'SOUTH SAN FRANCISCO ' 'CA' '940807408' '8668800606' 'MAP'

'C059' '20250730' 'A' 'F' 'CCHP SENIOR PROGRAM HMO ' ' ' '445 GRANT AVE ' 'SAN FRANCISCO ' 'CA' '941083208' '8887757888' 'MAP'

'C060' '20250730' 'A' 'F' 'CCHP SENIOR PROGRAM HMO ' ' ' '445 GRANT AVE ' 'SAN FRANCISCO ' 'CA' '941083208' '8887757888' 'MAP'

'C061' '20250730' 'A' 'F' 'CCHP SR SELECT PRGM HMO DSNP ' ' ' '445 GRANT AVE ' 'SAN FRANCISCO ' 'CA' '941083208' '8887757888' 'MAP'

'C062' '20250730' 'A' 'F' 'CCHP SENIOR VALUE PROGRAM HMO ' ' ' '445 GRANT AVE ' 'SAN FRANCISCO ' 'CA' '941083208' '8887757888' 'MAP'

'C064' '20250730' 'A' 'F' 'CCHP SENIOR VALUE PROGRAM HMO ' ' ' '445 GRANT AVE ' 'SAN FRANCISCO ' 'CA' '941083208' '8887757888' 'MAP'

'C065' '20250805' 'A' 'F' 'CENTER FOR ELDERS IND PART D ' 'PACE ' '510 17TH ST STE 400 ' 'OAKLAND ' 'CA' '946121570' '5104331150' 'MAP'

'C066' '20250805' 'A' 'F' 'CENTER FOR ELDERS IND PACE ' ' ' '510 17TH ST STE 400 ' 'OAKLAND ' 'CA' '946121570' '5104331150' 'MAP'

'C067' '20250806' 'A' 'F' 'CENTRAL HLTH CL CARE I HMO ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C068' '20250806' 'A' 'F' 'CENTRAL HLTH CL CARE II HMO ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C069' '20161228' 'A' 'P' 'CELTIC LIFE INSURANCE COMPANY ' 'ATTN HEALTH CLAIMS ' 'PO BOX 46337 ' 'MADISON ' 'WI' '537446337' '8007662525' 'PPO'

'C070' '20150902' 'A' 'P' 'CARPENTERS/JOINTERS UNION HWF ' 'ATTN MARY PAT BAILEY ' '3001 METRO DR STE 500 ' 'BLOOMINGTON ' 'MN' '554251617' '9528540795' 'PPO'

'C071' '20250806' 'A' 'F' 'CENTRAL HLTH DUAL ACCESS HMO ' 'DSNP ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C072' '20250806' 'A' 'F' 'CENTRAL HLTH EMBRACE CARE HMO ' ' CSNP ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C076' '20250806' 'A' 'F' 'CENTRAL HLTH EMBRACE HMO CSNP ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C077' '20250806' 'A' 'F' 'CENTRAL HLTH FOCUS HMO CSNP ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C078' '20250806' 'A' 'F' 'CENTRAL HEALTH JADE PLAN HMO ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C079' '20250806' 'A' 'F' 'CENTRAL HLTH MEDICARE HMO ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C080' '20250806' 'A' 'F' 'CENTRAL HLTH MEDIMEDI I DSNP ' 'HMO ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C081' '20250806' 'A' 'F' 'CENTRAL HLTH MEDIMEDI II DSNP ' ' HMO ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C082' '20250806' 'A' 'F' 'CENTRAL HLTH PART B SAV HMO ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C083' '20250806' 'A' 'F' 'CENTRAL HLTH PREMIER I HMO ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C084' '20210907' 'A' 'P' 'TIC INTERNATIONAL ' 'WELFARE FUND ' '11590 N MERIDIAN ST STE 600 ' 'CARMEL ' 'IN' '460326971' '8003928726' 'PPO'

'C085' '20250806' 'A' 'F' 'CENTRAL HLTH SAN MATEO MEDI ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C086' '20231122' 'A' 'F' 'CAREADVANTAGE HLTH PLAN OF ' 'SAN MATEO ' '801 GATEWAY BLVD STE 100 ' 'SOUTH SAN FRANCISCO ' 'CA' '940807408' '8668800606' 'MAP'

'C087' '20250806' 'A' 'F' 'CENTRAL HLTH SAVINGS HMO ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C088' '20250806' 'A' 'F' 'CENTRAL HLTH VALOR CARE HMO ' ' ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C089' '20250806' 'A' 'F' 'CENTRAL HLTH VENTURA MEDICARE ' ' HMO ' 'PO BOX 14246 ' 'ORANGE ' 'CA' '928631246' '8663142427' 'MAP'

'C092' '20210415' 'A' 'L' 'CIGNA DENTAL PPO ' ' ' 'PO BOX 188037 ' 'CHATTANOOGA ' 'TN' '374228037' '80024462242' 'PPO'

'C093' '20150902' 'A' 'L' 'CITIZENS SECURITY LIFE INS ' 'ATTN DENTAL CLAIMS ' 'PO BOX 436149 ' 'LOUISVILLE ' 'KY' '402536149' '5022442420' 'PPO'

'C094' '20240220' 'A' 'F' 'CCA HEALTH PLANS OF CALIFORNI ' ' ' '18000 STUDEBAKER RD STE 150 ' 'CERRITOS ' 'CA' '907032704' '8663333530' 'MAP'

'C096' '20240220' 'A' 'F' 'CHAMPION HEATH PLAN ' ' ' 'PO BOX 15337 ' 'LONG BEACH ' 'CA' '908150337' '8008858000' 'MAP'

'C105' '20250731' 'A' 'F' 'CENTRAL VALLEY PACE DUAL ELIG ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '2093846516' 'MAP'

'C107' '20250731' 'A' 'F' 'CENTRAL VALLEY PACE MEDICARE ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '2093846516' 'MAP'

'C108' '20250806' 'A' 'F' 'CHAMPION ADV HMO POS CSNP ' ' ' 'PO BOX 15337 ' 'LONG BEACH ' 'CA' '908150337' '8008858000' 'MAP'

'C109' '20250806' 'A' 'F' 'CHAMPION CONNECT HMO POS CSNP ' ' ' 'PO BOX 15337 ' 'LONG BEACH ' 'CA' '908150337' '8008858000' 'MAP'

'C110' '20250806' 'A' 'F' 'CHAMPION SELECT HMO POS CSNP ' ' ' 'PO BOX 15337 ' 'LONG BEACH ' 'CA' '908150337' '8008858000' 'MAP'

'C111' '20250806' 'A' 'F' 'CLEVER CARE LONGEVITY HMO ' ' ' '7711 CENTER AVE STE 100 ' 'HUNTINGTON BEACH ' 'CA' '926473070' '8333888168' 'MAP'

'C117' '20250806' 'A' 'F' 'CLEVER CARE TOTAL HMO CSNP ' ' ' '7711 CENTER AVE STE 100 ' 'HUNTINGTON BEACH ' 'CA' '926473070' '8333888168' 'MAP'

'C118' '20230728' 'A' 'F' 'CHRISTUS HEALTH PLAN GENERATIO' ' ' '919 HIDDEN RDG ' 'IRVING ' 'TX' '750383813' '8442823026' 'MAP'

'C119' '20231122' 'A' 'F' 'CLEVER CARE ' ' ' '7711 CENTER AVE STE 100 ' 'HUNTINGTON BEACH ' 'CA' '926473070' '8333888168' 'MAP'

'C120' '20240227' 'A' 'F' 'BLUE SHIELD OF CA ' ' ' 'PO BOX 927 ' 'WOODLAND HILLS ' 'CA' '913650927' '8004524413' 'MAP'

'C122' '20230808' 'A' 'F' 'CENTRAL VALLEY PACE ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '2097246000' 'MAP'

'C123' '20240116' 'A' 'F' 'COMMUNITY HEALTH GROUP ' ' ' '2420 FENTON ST STE 100 ' 'CHULA VISTA ' 'CA' '919143516' '8824444430' 'MAP'

'C128' '20250130' 'A' 'F' 'CENTRAL HEALTH PLAN OF CA INC ' ' ' 'PO BOX 14244 ' 'ORANGE ' 'CA' '928631244' '8663142427' 'MAP'

'C130' '20250806' 'A' 'F' 'CLEVER CARE VALUE HMO ' ' ' '7711 CENTER AVE STE 100 ' 'HUNTINGTON BEACH ' 'CA' '926473070' '8333888168' 'MAP'

'C141' '20210907' 'A' 'P' 'BENEFIT COORDINATORS INC ' 'ATTN MAUREEN RICH ' '121 HUNTER VILLAGE DR ' 'IRMO ' 'SC' '290637623' '4124464618' 'PPO'

'C153' '20240207' 'A' 'F' 'CHINESE COMMUNITY HEALTH PLAN ' ' ' '445 GRANT AVE ' 'SAN FRANCISCO ' 'CA' '941083208' '8887757888' 'MAP'

'C155' '20240207' 'A' 'F' 'COMMUNITY Y MAS ' ' ' '2420 FENTON ST STE 100 ' 'CHULA VISTA ' 'CA' '919143516' '8002323133' 'MAP'

'C157' '20200318' 'A' 'P' 'CAPITAL BLUE CROSS ' ' ' '2500 ELMERTON AVE ' 'HARRISBURG ' 'PA' '171779764' '8009585558' 'PPO'

'C161' '20190722' 'A' 'P' 'ADVENTIST HEALTH SYSTEMS ' 'CLAIMS CENTRAL ' 'PO BOX 619031 ' 'ROSEVILLE ' 'CA' '956619031' '8004412524' 'PPO'

'C169' '20230728' 'A' 'F' 'CCA HEALTH MICHIGAN ' ' ' 'PO BOX 25677 ' 'TAMPA ' 'FL' '336225677' '8559595855' 'MAP'

'C209' '20210907' 'A' 'P' 'HOMETOWN HEALTH PLAN ' 'ATTN HEALTH/DENTAL CLAIMS ' '10315 PROFESSIONAL CIR ' 'RENO ' 'NV' '895215861' '8003360123' 'PPO'

'C220' '20250801' 'A' 'F' 'COMMUNICARE ADV HMO DSNP ' ' ' '2420 FENTON ST STE 100 ' 'CHULA VISTA ' 'CA' '919143516' '8882444430' 'MAP'

'C221' '20250806' 'A' 'F' 'COMMUNITY Y MÂS HMO CSNP ' ' ' '2420 FENTON ST STE 100 ' 'CHULA VISTA ' 'CA' '919143516' '8882444430' 'MAP'

'C222' '20250806' 'A' 'F' 'CONCERTOPACE OF LA DUAL ' ' ' '3670 DEGNAN BLVD ' 'LOS ANGELES ' 'CA' '900184015' '2139432490' 'MAP'

'C223' '20250806' 'A' 'F' 'CONCERTOPACE OF LA MEDICARE ' ' ' '3670 DEGNAN BLVD ' 'LOS ANGELES ' 'CA' '900184015' '2139432490' 'MAP'

'C237' '20210920' 'A' 'D' 'COMMUNITYCARE PRESCRIPTION ' 'DRUG PLAN ' 'WILLIAMS CENTER TOWER II W 2ND ST STE 100 ' 'TULSA ' 'OK' '74103' '8003333275' 'PDP'

'C256' '20200318' 'A' 'P' 'CDS GROUP HEALTH ' 'ATTN HEALTH CLAIMS ' 'PO BOX 50190 ' 'SPARKS ' 'NV' '894350190' '8004554236' 'PPO'

'C272' '20220203' 'A' 'P' 'BOON GROUP ' 'ATTN HEALTH CLAIMS ' '6300 BRIDGE POINT PKWY STE 3-200 ' 'AUSTIN ' 'TX' '787305004' '8003682666' 'PPO'

'C276' '20200325' 'A' 'P' 'CARE1ST BC/BLUE SHIELD OF MD ' 'ATTN HEALTH CLAIMS ' 'PO BOX 80139 ' 'BATON ROUGE ' 'LA' '708980139' '8002250131' 'PPO'

'C278' '20210907' 'A' 'P' 'CONNECTICARE ' ' ' '175 SCOTT SWAMP RD ' 'FARMINGTON ' 'CT' '60323124' '8606745757' 'HMO'

'C282' '20210806' 'A' 'P' 'BLUE CHOICE HEALTH S. CAROLINA' ' ' 'PO BOX 6170 ' 'COLUMBIA ' 'SC' '292606170' '8008682528' 'HMO'

'C285' '20240109' 'A' 'L' 'CALIFORNIA DENTAL NETWORK ' ' ' 'PO BOX 2190 ' 'LAGUNA HILLS ' 'CA' '926542190' '8774336825' 'HMO'

'C287' '20161228' 'A' 'P' 'CARPENTERS HWTFOF INDIANA ' 'ATTN MICHELLE INMAN ' 'PO BOX 421729 ' 'INDIANAPOLIS ' 'IN' '462421729' '3177913500' 'PPO'

'C288' '20250305' 'A' 'Q' 'CAREMARK ' 'ATTN PRESCRIPTION CLAIMS ' 'PO BOX 52195 ' 'PHOENIX ' 'AZ' '850722195' '8886241139' 'TPP'

'C292' '20220203' 'A' 'P' 'MARPAI HEALTH ' ' ' '5701 E HILLSBOROUGH AVE STE 1417 ' 'TAMPA ' 'FL' '336105428' '8553897330' 'PPO'

'C293' '20210625' 'A' 'P' 'CONCORDIA PLAN SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 229007 ' 'SAINT LOUIS ' 'MO' '631229007' '3149659000' 'PPO'

'C298' '20210907' 'A' 'P' 'CALIFORNIA VALUED TRUST ' 'ATTN: HEALTH CLAIMS ' '520 E HERNDON AVE ' 'FRESNO ' 'CA' '937202907' '8002889870' 'PPO'

'C307' '20160921' 'A' 'P' 'COASTAL ADMIN SERVICES ' ' ' 'PO BOX 3070 ' 'BELLINGHAM ' 'WA' '982273070' '8008701831' 'PPO'

'C308' '20220203' 'A' 'P' 'COMMUNITY FIRST HEALTH ' ' ' 'PO BOX 853927 ' 'RICHARDSON ' 'TX' '750853927' '2103586030' 'HMO'

'C311' '20190417' 'A' 'C' 'VETERANS HEALTH ADMINISTRATORS' 'ATTN HEALTH CLAIMS ' '4150 CLEMENT ST ' 'SAN FRANCISCO ' 'CA' '941211563' '4157502014' 'PPO'

'C312' '20190417' 'A' 'C' 'CHAMPVA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 469064 ' 'DENVER ' 'CO' '802469064' '8007338387' 'PPO'

'C352' '20211118' 'A' 'P' 'CHESTERFIELD RESOURCES ' ' ' '3520 4TH LAKE DRIVE ' 'UNIONTOWN ' 'OH' '44685' '3308962232' 'PPO'

'C362' '20161228' 'A' 'P' 'CASS/JOHANSING ' 'ATTN HEALTH CLAIMS ' '24102 EL TORO RD STE C ' 'LAGUNA HILLS ' 'CA' '926373123' '7148372800' 'PPO'

'C367' '20210907' 'A' 'P' 'AMERIHEALTH ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' '1900 MARKET ST STE 500 ' 'PHILADELPHIA ' 'PA' '191033527' '8005072359' 'PPO'

'C371' '20210907' 'A' 'P' 'CELTIC HEALTH INS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 26440 ' 'LITTLE ROCK ' 'AR' '722216440' '8002373968' 'PPO'

'C399' '20150902' 'A' 'F' 'BLUE CROSS OF CALIFORNIA ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8882909160' 'MAP'

'C409' '20150902' 'A' 'F' 'CONTRA COSTA HEALTH PLAN ' ' ' 'PO BOX 2157 ' 'SAN LEANDRO ' 'CA' '945770215' '9259575185' 'MAP'

'C413' '20200318' 'A' 'P' 'CHINESE COMMUNITY HEALTH PLAN ' ' ' '445 GRANT AVE STE 700 ' 'SAN FRANCISCO ' 'CA' '941083250' '4159558800' 'HMO'

'C421' '20161228' 'A' 'P' 'CATHOLIC GOLDEN AGE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 97 ' 'SCRANTON ' 'PA' '185040097' '8002334697' 'PPO'

'C425' '20161228' 'A' 'P' 'CENTRAL RESERVE LIFE ' 'ATTN HEALTH CLAIMS ' '17800 ROYALTON RD ' 'STRONGSVILLE ' 'OH' '441365149' '8002534650' 'PPO'

'C454' '20211007' 'A' 'P' 'COMPREHENSIVE BENEFITS ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2365 ' 'SOUTH BURLINGTON ' 'VT' '54072365' '8028648321' 'PPO'

'C455' '20230728' 'A' 'F' 'CONSOLIDATED ASSOC RAILROAD ' ' ' 'PO BOX 6130 ' 'TEMPLE ' 'TX' '765036130' '2547731330' 'MAP'

'C467' '20180511' 'A' 'P' 'COLONIAL PENN LIFE INS CO ' ' ' '399 MARKET ST ' 'PHILADELPHIA ' 'PA' '191810001' '8005234000' 'PPO'

'C478' '20211007' 'A' 'P' 'CORE SOURCE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 8215 ' 'LITTLE ROCK ' 'AR' '722218215' '8886049397' 'PPO'

'C493' '20230728' 'A' 'F' 'ARCHCARE SENIOR LIFE ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '8662639083' 'MAP'

'C504' '20210806' 'A' 'P' 'CHRISTIAN BROTHERS EMP BENEFIT' 'TRUST ATTN HEALTH CLAIMS ' '1205 WINDHAM PKWY ' 'ROMEOVILLE ' 'IL' '604461672' '6303782900' 'PPO'

'C527' '20230728' 'A' 'F' 'CAREPARTNERS OF CONNECTICUT ' ' ' 'PO BOX 494 ' 'CANTON ' 'MA' '20210494' '8883411507' 'MAP'

'C528' '20211007' 'A' 'P' 'CORPORATE BENEFIT SERV OF AMER' 'ATTN MERITAIN HEALTH ' 'PO BOX 27267 ' 'MINNEAPOLIS ' 'MN' '554270267' '8662093063' 'PPO'

'C533' '20161228' 'A' 'P' 'CAREFIRST ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 10136 ' 'FAIRFAX ' 'VA' '220388022' '4.43472E+13' 'TPM'

'C535' '20210726' 'A' 'P' 'CIGNA HEALTHCARE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 182223 ' 'CHATTANOOGA ' 'TN' '374227223' '8002446224' 'PPO'

'C536' '20161228' 'A' 'P' 'CHRISTOPHER RANCH HEALTH PLAN ' 'ATTN HEALTH CLAIMS ' '305 BLOOMFIELD AVE ' 'GILROY ' 'CA' '950209516' '4088471100' 'PPO'

'C540' '20161228' 'A' 'P' 'TLC ADMINISTRATORS ' 'ATTN GLORIA JOLOYA ' 'PO BOX 7450 ' 'FREMONT ' 'CA' '945377450' '5107950103' 'PPO'

'C543' '20211007' 'A' 'P' 'HEALTH PLAN OF NEVADA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 15645 ' 'LAS VEGAS ' 'NV' '891145645' '8003562180' 'PPO'

'C546' '20161228' 'A' 'P' 'CORPORATE SYSTEMS ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 4985 ' 'JOHNSON CITY ' 'TN' '376024985' '4232823420' 'PPO'

'C548' '20220203' 'A' 'P' 'TEAMCARE ' 'HWF ATTN HEALTH CLAIMS ' 'PO BOX 5116 ' 'DES PLAINES ' 'IL' '600175116' '8003232190' 'PPO'

'C634' '20190626' 'A' 'F' 'CIGNA PART C ' ' ' 'PO BOX 120002 ' 'NASHVILLE ' 'TN' '372120002' '8003624462' 'MAP'

'C635' '20211007' 'A' 'P' 'CARPENTERS HWTF OF ST LOUIS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 7796 ' 'LONDON ' 'KY' '407427796' '3146444800' 'PPO'

'C647' '20190417' 'A' 'C' 'TRICARE SELECT ' 'ATTN PGBA LLC/TRICARE ' 'PO BOX 870140 ' 'SURFSIDE BEACH ' 'SC' '295879740' '8005389552' 'PPO'

'C653' '20190417' 'A' 'C' 'TRICARE PRIME ' 'C/O PGBA LLC/TRICARE ' 'PO BOX 870140 ' 'SURFSIDE BEACH ' 'SC' '295879740' '8005389552' 'HMO'

'C668' '20250211' 'A' 'P' 'ANTHEM BLUE CROSS HMO ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8003311476' 'HMO'

'C677' '20211007' 'A' 'P' 'CULINARY HEALTH FUND ' 'ATTN HEALTH CLAIMS ' '1901 LAS VEGAS BLVD S # 107 ' 'LAS VEGAS ' 'NV' '891041304' '7027339938' 'PPO'

'C690' '20211027' 'A' 'P' 'CIGNA HEALTHCARE HMO ' ' ' 'PO BOX 182223 ' 'CHATTANOOGA ' 'TN' '374227223' '8002446224' 'HMO'

'C691' '20220118' 'A' 'F' 'CIGNA-HEALTHSPRING PREFERRED ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8006683813' 'MAP'

'C692' '20220120' 'A' 'F' 'CIGNA ALLIANCE MEDICARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8006277534' 'MAP'

'C693' '20230831' 'A' 'F' 'CIGNA TRUE CHOICE MEDICARE ' ' ' 'PO BOX 981706 ' 'EL PASO ' 'TX' '799981706' '8002306138' 'MAP'

'C702' '20230728' 'A' 'F' 'CIGNA HEALTHSPRING PREFERRED ' ' ' 'PO BOX 2888 ' 'HOUSTON ' 'TX' '772522888' '8006683813' 'MAP'

'C709' '20161228' 'A' 'P' 'COMMOM HEALTH ALLIANCE ' 'ATTN HEALTH CLAIMS ' '1650 STATE FARM BLVD ' 'CHARLOTTESVILLE ' 'VA' '229114664' '8049771867' 'PPO'

'C712' '20211007' 'A' 'P' 'COLORADO HEALTH TRUST ' 'ATTN HEALTH CLAIMS ' 'PO BOX 21240 ' 'DENVER ' 'CO' '802210240' '3034285586' 'PPO'

'C723' '20161228' 'A' 'P' 'HOAST BENEFITS INS CO ' 'ATTN HEALTH CLAIMS ' 'PO BOX 80040 ' 'LAS VEGAS ' 'NV' '891800040' '7028891155' 'PPO'

'C726' '20150212' 'A' 'L' 'CIGNA DENTAL HMO ' ' ' 'PO BOX 188037 ' 'CHATTANOOGA ' 'TN' '374228037' '8002446224' 'HMO'

'C741' '20211007' 'A' 'P' 'CENTRAL PA TEAMSTERS HWF ' 'ATTN LOU ANN DELONG ' 'PO BOX 15224 ' 'READING ' 'PA' '196125224' '2153205500' 'PPO'

'C752' '20220203' 'A' 'P' 'COASTAL TPA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 80308 ' 'SALINAS ' 'CA' '939120308' '8005647475' 'PPO'

'C765' '20210319' 'A' 'P' 'CIGNA BEHAVIORAL HEALTH ' ' ' 'PO BOX 182223 ' 'CHATTANOOGA ' 'TN' '374227223' '8004335768' 'PPO'

'C770' '20150304' 'A' 'P' 'COMMUNITY CARE ' ' ' 'PO BOX 3249 ' 'TULSA ' 'OK' '741013249' '8007774890' 'HMO'

'C773' '20150921' 'A' 'P' 'CEMENT MASONS UNION LOCAL 502 ' 'ATTN BEA KAY ' '739 25TH AVE ' 'BELLWOOD ' 'IL' '601041954' '7085449105' 'PPO'

'C837' '20150921' 'A' 'F' 'COMMUNITY HEALTH GROUP ' 'ATTN: CLAIMS ' 'PO BOX 210100 ' 'CHULA VISTA ' 'CA' '919210100' '6194220422' 'MSP'

'C838' '20161228' 'A' 'E' 'HUMANA VISION CARE PLAN ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778091810' 'PPO'

'C841' '20210415' 'A' 'L' 'CAREINGTON PPO ' ' ' 'PO BOX 60 ' 'FRISCO ' 'TX' '750341101' '8005617374' 'PPO'

'C883' '20200325' 'A' 'D' 'COVENTRY ADVANTRA RX ' ' ' 'PO BOX 7707 ' 'LONDON ' 'KY' '407427707' '8049657796' 'PDP'

'C884' '20230829' 'A' 'F' 'UNITED HEALTHCARE ' 'ATTN: CLAIMS ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8448125967' 'MAP'

'C885' '20220203' 'A' 'P' 'CONNECTTICARE ' ' ' 'PO BOX 4050 ' 'FARMINGTON ' 'CT' '60344050' '8002517722' 'HMO'

'C900' '20200612' 'A' 'P' 'CORNERSTONE PREFERRED RESOURCE' ' ' 'PO BOX 680185 ' 'HOUSTON ' 'TX' '772680185' '8889182386' 'PPO'

'D003' '20140508' 'A' 'D' 'MERIDIAN HEALTH PLAN ILLINOIS ' ' ' '1001 WOODWARD AVE STE 520 ' 'DETROIT ' 'MI' '482261920' '8779026784' 'PDP'

'D004' '20150212' 'A' 'D' 'ELDER HEALTH INSURANCE CO. ' ' ' '3601 ODONNELL ST ' 'BALTIMORE ' 'MD' '212245238' '4108644466' 'PDP'

'D008' '20151222' 'A' 'D' 'HUMANA INSURANCE PUERTO RICO ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778091810' 'PDP'

'D010' '20150921' 'A' 'L' 'DELTA DENTAL OF VIRGINIA ' 'ATTN DENTAL CLAIMS ' '4818 STARKEY RD ' 'ROANOKE ' 'VA' '240188510' '8003673531' 'PPO'

'D011' '20151013' 'A' 'D' 'EXPRESS SCRIPTS HEALTH SOLUTIO' ' ' 'PO BOX 2860 ' 'CLINTON ' 'IA' '527332860' '8007584574' 'PDP'

'D013' '20140117' 'A' 'D' 'HEALTH ALLIANCE PLAN ' 'CLAIMS ' '2850 W GRAND BLVD ' 'DETROIT ' 'MI' '482022643' '8004224641' 'PDP'

'D014' '20140117' 'A' 'D' 'TRANSAMERICA MEDICARE RX ' 'CLAIMS DEPARTMENT ' 'PO BOX 509099 ' 'SAN DIEGO ' 'CA' '921509099' '8776337443' 'PDP'

'D015' '20150921' 'A' 'L' 'DELTA DENTAL OF NORTH CAROLINA' 'ATTN DENTAL CLAIMS ' 'PO BOX 9085 ' 'FARMINGTON HILLS ' 'MI' '483339085' '8006628856' 'PPO'

'D016' '20061027' 'A' 'L' 'DELTA DENTAL OF AZ ' 'ATTN DENTAL CLAIMS ' 'PO BOX 43026 ' 'PHOENIX ' 'AZ' '850803026' '8003526132' 'PPO'

'D017' '20211007' 'A' 'P' 'MANAGED CARE OF AMERICA ' 'ATTN HEALTH CLAIMS ' 'MANOR OAK TWO STE 605 ' 'PITTSBURGH ' 'PA' '15220' '8002218490' 'PPO'

'D018' '20140117' 'A' 'D' 'MERIDIAN RX ' 'PHARMACY CLAIMS ' '1001 WOODWARD AVE STE 700 ' 'DETROIT ' 'MI' '482261919' '8556470075' 'PDP'

'D019' '20150921' 'A' 'D' 'TRIPLE-S SALUD ' ' ' 'PO BOX 11320 ' 'SAN JUAN ' 'PR' '9221320' '7876201919' 'PDP'

'D021' '20240109' 'A' 'L' 'CYPRESS DENTAL ' ' ' 'PO BOX 1998 ' 'MILWAUKEE ' 'WI' '532011998' '8003503989' 'PPO'

'D022' '20201117' 'A' 'L' 'ANTHEM BLUE DENTAL ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8007228879' 'PPO'

'D023' '20220121' 'A' 'F' 'DEVOTED HEALTH PRIME ' ' ' 'PO BOX 21367 ' 'EAGAN ' 'MN' '551210367' '8003386833' 'MAP'

'D024' '20220602' 'A' 'F' 'DEVOTED HEALTH CARE ' ' ' 'PO BOX 211037 ' 'EAGAN ' 'MN' '551212437' '8003386833' 'MAP'

'D025' '20220914' 'A' 'F' 'DENVER HEALTH MEDICARE CHOICE ' ' ' '777 BANNOCK ST # MC6000 ' 'DENVER ' 'CO' '802044507' '3036022111' 'MAP'

'D026' '20220914' 'A' 'F' 'DEVOTED HEALTH DUAL BROWARD ' ' ' 'PO BOX 211524 ' 'EAGAN ' 'MN' '551212724' '8003386833' 'MAP'

'D028' '20221208' 'A' 'F' 'DEVOTED CHOICE ' ' ' 'PO BOX 211037 ' 'EAGAN ' 'MN' '551212437' '8003386833' 'MAP'

'D030' '20200325' 'A' 'P' 'DOW CHEMICAL CO USA ' 'ATTN HEALTH CLAIMS ' '901 LOVERIDGE RD ' 'PITTSBURG ' 'CA' '945652811' '5104325000' 'PPO'

'D031' '20230417' 'A' 'F' 'DEVOTED CHOICE ARIZONA ' ' ' 'PO BOX 211524 ' 'EAGAN ' 'MN' '551212724' '8777623515' 'MAP'

'D032' '20230426' 'A' 'F' 'DEVOTED CHOICE ILLINOIS ' ' ' 'PO BOX 211524 ' 'EAGAN ' 'MN' '551212724' '8777623515' 'MAP'

'D033' '20221208' 'A' 'F' 'DEVOTED CHOICE OREGON ' ' ' 'PO BOX 211037 ' 'EAGAN ' 'MN' '551212437' '8338450281' 'MAP'

'D034' '20221208' 'A' 'F' 'DEVOTED CHOICE PLUS HAWAII ' ' ' 'PO BOX 21367 ' 'EAGAN ' 'MN' '551210367' '8003386833' 'MAP'

'D035' '20210415' 'A' 'L' 'DELTA DENTAL OF OREGON ' ' ' 'PO BOX 40384 ' 'PORTLAND ' 'OR' '972400384' '8773370650' 'PPO'

'D036' '20221208' 'A' 'F' 'DEVOTED CORE COLORADO ' ' ' 'PO BOX 211037 ' 'EAGAN ' 'MN' '551212437' '8778040811' 'MAP'

'D037' '20150918' 'A' 'L' 'DELTA DENTAL OF PA ' 'ATTN DENTAL CLAIMS ' 'PO BOX 2105 ' 'MECHANICSBURG ' 'PA' '170552105' '8009320783' 'PPO'

'D038' '20230417' 'A' 'F' 'DEVOTED CORE TENNESSEE ' ' ' 'PO BOX 21367 ' 'EAGAN ' 'MN' '551210367' '8777623515' 'MAP'

'D040' '20221208' 'A' 'F' 'DEVOTED CORE UPSTATE ' ' ' 'PO BOX 21237 ' 'EAGAN ' 'MN' '55121' '8003386833' 'MAP'

'D044' '20150918' 'A' 'L' 'DELTA DENTAL OF OKLAHOMA ' 'ATTN DENTAL CLAIMS ' 'PO BOX 548809 ' 'OKLAHOMA CITY ' 'OK' '731548809' '8005220188' 'PPO'

'D045' '20211007' 'A' 'P' 'DEAN HEALTH PLAN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 56099 ' 'MADISON ' 'WI' '537059399' '6088361400' 'PPO'

'D047' '20221208' 'A' 'F' 'DEVOTED HEALTH ESSENTIALS ' ' ' 'PO BOX 211037 ' 'EAGAN ' 'MN' '551212437' '8003386833' 'MAP'

'D049' '20150918' 'A' 'L' 'DELTA DENTAL OF IOWA ' 'ATTN DENTAL CLAIMS ' 'PO BOX 9000 ' 'JOHNSTON ' 'IA' '501319000' '8005440718' 'PPO'

'D050' '20161228' 'A' 'P' 'DIVERSIFIED GRP ADMINSTRATORS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 19804 ' 'KNOXVILLE ' 'TN' '379392804' '8008583203' 'PPO'

'D051' '20221208' 'A' 'F' 'DRVALUE DRPLUS ' ' ' '2020 PONCE DE LEON BLVD PH 1 ' 'CORAL GABLES ' 'FL' '331344477' '7864603427' 'MAP'

'D052' '20221216' 'A' 'F' 'DEVOTED HEALTH CORE ' ' ' 'PO BOX 21367 ' 'EAGAN ' 'MN' '551210367' '8003386833' 'MAP'

'D053' '20230104' 'A' 'F' 'DEVOTED HEALTH ' ' ' 'PO BOX 21367 ' 'EAGAN ' 'MN' '551210367' '8003386833' 'MAP'

'D074' '20220203' 'A' 'P' 'DESERET MUTUAL BENEFIT ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 45530 ' 'SALT LAKE CITY ' 'UT' '841450530' '8015785600' 'PPO'

'D075' '20071206' 'A' 'L' 'DELTA DENTAL OF CA FEDERAL SRV' 'ATTN DENTAL CLAIMS ' 'PO BOX 537007 ' 'SACRAMENTO ' 'CA' '958537007' '8888388737' 'PPO'

'D086' '20211007' 'A' 'P' 'DELTA HEALTH SYSTEMS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 80 ' 'STOCKTON ' 'CA' '952013080' '8004226099' 'PPO'

'D087' '20161228' 'A' 'P' 'DIAMOND BENEFITS GRP ' 'ATTN HEALTH CLAIMS ' '38 DISCOVERY STE 250 ' 'IRVINE ' 'CA' '926183129' '8004260376' 'PPO'

'D100' '20200318' 'A' 'P' 'HEALTH SMART /ACCEL ' 'ATTN HEALTH CLAIMS ' 'PO BOX 94807 ' 'LUBBOCK ' 'TX' '794934807' '8008211222' 'PPO'

'D101' '20190417' 'A' 'L' 'DENTAL BENEFIT PROVIDERS ' 'ATTN DENTAL CLAIMS ' 'PO BOX 30552 ' 'SALT LAKE CITY ' 'UT' '841300552' '8005536542' 'PPO'

'D102' '20210415' 'A' 'L' 'SUN LIFE DENTAL ' ' ' 'PO BOX 2940 ' 'CLINTON ' 'IA' '527332940' '8004427742' 'HMO'

'D103' '20170512' 'A' 'L' 'ANTHEM BLUE CROSS DENTAL PPO ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8002312583' 'PPO'

'D104' '20201117' 'A' 'L' 'ANTHEM BLUE CROSS DENTAL HMO ' ' ' 'PO BOX 105187 ' 'ATLANTA ' 'GA' '303485187' '8002312583' 'HMO'

'D105' '20170621' 'A' 'L' 'DELTA DENTAL OF MISSOURI ' ' ' 'PO BOX 63126 ' 'SAINT LOUIS ' 'MO' '631633126' '8003358266' 'PPO'

'D107' '20170621' 'A' 'L' 'PRINCIPAL DENTAL ' ' ' 'PO BOX 10357 ' 'DES MOINES ' 'IA' '503060357' '8002474695' 'PPO'

'D111' '20211007' 'A' 'P' 'DMC INS ADMIN ' 'ATTN HEALTH CLAIMS ' '1181 QUARRY LN STE 400 ' 'PLEASANTON ' 'CA' '945664790' '9254269553' 'PPO'

'D112' '20210415' 'A' 'L' 'DENTAL HEALTH SERVICES ' ' ' '3780 KILROY AIRPORT WAY STE 750 ' 'LONG BEACH ' 'CA' '908066855' '5625956000' 'PPO'

'D118' '20190417' 'A' 'L' 'DELTA DENTAL OF CALIFORNIA ' 'ATTN: DENTAL CLAIMS ' 'PO BOX 997330 ' 'SACRAMENTO ' 'CA' '958997330' '8883358227' 'PPO'

'D123' '20150908' 'A' 'L' 'DENTAL NETWORK OF AMERICA INC ' ' ' '2 TRANSAM PLAZA DR ' 'OAKBROOK TERRACE ' 'IL' '601814823' '8003237201' 'HMO'

'D127' '20210415' 'A' 'L' 'DEDICATED DENTAL ' 'ATTN DENTAL CLAIMS ' '9800 S LA CIENEGA BLVD STE 800 ' 'INGLEWOOD ' 'CA' '903014442' '6613975513' 'PPO'

'D132' '20190724' 'A' 'L' 'DELTA DENTAL OF KANSAS ' 'ATTN DENTAL CLAIMS ' 'PO BOX 789769 ' 'WICHITA ' 'KS' '672789769' '3162644511' 'HMO'

'D134' '20150908' 'A' 'L' 'DELTA DENTAL OF WISCONSIN ' 'ATTN DENTAL CLAIMS ' 'PO BOX 828 ' 'STEVENS POINT ' 'WI' '544810828' '8002363712' 'HMO'

'D137' '20150908' 'A' 'L' 'DELTA DENTAL OF TN ' 'ATTN DENTAL CLAIMS ' '240 VENTURE CIR ' 'NASHVILLE ' 'TN' '372281604' '8002233104' 'HMO'

'D143' '20150908' 'A' 'L' 'DIRECT DENTAL ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 497 ' 'MILWAUKEE ' 'WI' '532010497' '8778783384' 'HMO'

'D160' '20150921' 'A' 'L' 'DELTA DENTAL OF MASSACHUSETTS ' 'ATTN DENTAL CLAIMS ' 'PO BOX 249 ' 'THIENSVILLE ' 'WI' '530920249' '8004511249' 'HMO'

'D164' '20150908' 'A' 'L' 'DELTA DENTAL OF GEORGIA ' 'ATTN DENTAL CLAIMS ' 'PO BOX 1809 ' 'ALPHARETTA ' 'GA' '300231809' '8005212651' 'HMO'

'D186' '20150806' 'A' 'L' 'DELTA DENTAL OF ARKANSAS ' 'ATTN DENTAL CLAIMS ' 'PO BOX 15965 ' 'LITTLE ROCK ' 'AR' '722315965' '8004625410' 'PPO'

'D187' '20201116' 'A' 'L' 'BLUE CROSS/SHIELD DENTAL HMO ' ' ' 'PO BOX 1505 ' 'RED BLUFF ' 'CA' '960801505' '8006270004' 'HMO'

'D189' '20180530' 'A' 'L' 'DELTA DENTAL OF MICHIGAN ' ' ' 'PO BOX 9085 ' 'FARMINGTON HILLS ' 'MI' '483339085' '8005240150' 'PPO'

'D193' '20150908' 'A' 'L' 'DELTA DENTAL OF IDAHO ' 'ATTN DENTAL CLAIMS ' 'PO BOX 2870 ' 'BOISE ' 'ID' '837012870' '2083444546' 'PPO'

'D196' '20150908' 'A' 'L' 'DELTA DENTAL OF RHODE ISLAND ' 'ATTN DENTAL CLAIMS ' 'PO BOX 1517 ' 'PROVIDENCE ' 'RI' '29011517' '8008433582' 'HMO'

'D198' '20180530' 'A' 'L' 'DELTA DENTAL OF WYOMING ' 'ATTN DENTAL CLAIMS ' 'PO BOX 29 ' 'CHEYENNE ' 'WY' '820030029' '8007353379' 'PPO'

'D200' '20100428' 'A' 'L' 'DELTA DENTAL OF MINNESOTA ' 'ATTN DENTAL CLAIMS ' 'PO BOX 908 ' 'MINNEAPOLIS ' 'MN' '554400908' '6514065916' 'PPO'

'D204' '20250414' 'A' 'L' 'DELTA DENTAL INSURANCE COMPANY' 'ATTN DENTAL CLAIMS ' 'PO BOX 1809 ' 'ALPHARETTA ' 'GA' '300231809' '8005212651' 'PPO'

'D206' '20240109' 'A' 'L' 'CYPRESS DENTAL HMO ' ' ' 'PO BOX 1998 ' 'MILWAUKEE ' 'WI' '532011998' '8003503989' 'HMO'

'D211' '20150908' 'A' 'L' 'DELTA DENTAL PLAN OF SO DAKOTA' 'ATTN DENTAL CLAIMS ' 'PO BOX 1157 ' 'PIERRE ' 'SD' '575011157' '6052247345' 'HMO'

'D215' '20150908' 'A' 'L' 'DELTA DENTAL OF ILLINOIS ' 'ATTN DENTAL CLAIMS ' 'PO BOX 5402 ' 'LISLE ' 'IL' '605325402' '8004521987' 'HMO'

'D217' '20150908' 'A' 'L' 'DELTA DENTAL OF KENTUCKY ' 'ATTN DENTAL CLAIMS ' 'PO BOX 242810 ' 'LOUISVILLE ' 'KY' '402242810' '8009552030' 'HMO'

'D218' '20210614' 'A' 'W' 'HEALTHSMART DENTAL ' 'DIRECT REIMBURSEMENT BENEFITS ' 'PO BOX 71489 ' 'NEWNAN ' 'GA' '302711489' '8007944668' 'HMO'

'D222' '20150908' 'A' 'L' 'DELTA DENTAL OF TEXAS ' 'ATTN DENTAL CLAIMS ' 'PO BOX 1809 ' 'ALPHARETTA ' 'GA' '300231809' '8008933582' 'HMO'

'D241' '20250801' 'A' 'F' 'DUALCONNECT HMO DSNP ' ' ' 'PO BOX 18880 ' 'SAN JOSE ' 'CA' '951588880' '8777234795' 'MAP'

'D245' '20161228' 'A' 'E' 'DAVIS VISION ' 'ATTN VISION CLAIMS ' 'PO BOX 1525 ' 'LATHAM ' 'NY' '121108025' '8009995431' 'PPO'

'D248' '20210415' 'A' 'L' 'DENTAQUEST ' 'ATTN DENTAL CLAIMS ' 'PO BOX 433 ' 'MILWAUKEE ' 'WI' '532010433' '8003803787' 'HMO'

'D249' '20200915' 'A' 'L' 'DELTA DENTAL OF CO ' 'ATTN DENTAL CLAIMS ' 'PO BOX 173803 ' 'DENVER ' 'CO' '802173803' '8006100201' 'HMO'

'D253' '20150908' 'A' 'L' 'DELTA DENTAL OF NJ ' 'ATTN DENTAL CLAIMS ' 'PO BOX 222 ' 'PARSIPPANY ' 'NJ' '70540222' '8004529310' 'PPO'

'D500' '20150908' 'A' 'D' 'BLUE SHIELD MEDICARE RX ' ' ' '6300 CANOGA AVE ' 'WOODLAND HILLS ' 'CA' '913672555' '8882396469' 'PDP'

'D501' '20150217' 'A' 'D' 'ELDER HEALTH PDP TEXAS ' ' ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '8882250026' 'PDP'

'D502' '20150908' 'A' 'D' 'ADVANTRARX ' ' ' 'PO BOX 14023 ' 'LEXINGTON ' 'KY' '405124023' '8002386279' 'PDP'

'D503' '20150217' 'A' 'D' 'AMERIHEALTH RX ' ' ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '8886787007' 'PDP'

'D504' '20250131' 'A' 'D' 'HUMANA INC. ' ' ' 'PO BOX 14310 ' 'LEXINGTON ' 'KY' '405124310' '8002816918' 'PDP'

'D505' '20131122' 'A' 'D' 'HEALTHMARKETS ' 'MEDICARE PART D ' 'PO BOX 5230 ' 'LISLE ' 'IL' '605325230' '8886309137' 'PDP'

'D506' '20150908' 'A' 'D' 'BLUE MEDICARE RX ' ' ' 'PO BOX 52066 ' 'PHOENIX ' 'AZ' '850722066' '8778537693' 'PDP'

'D507' '20150311' 'A' 'D' 'OPTUM RX ' ' ' 'PO BOX 29044 ' 'HOT SPRINGS NATIONAL' 'AR' '719039044' '8883261004' 'PDP'

'D508' '20150908' 'A' 'D' 'EXPRESS SCRIPT INC. ' ' ' 'PO BOX 2585 ' 'CLINTON ' 'IA' '527332858' '8774619218' 'PDP'

'D510' '20180221' 'A' 'D' 'AMERIHEALTH ADVANTAGE ' ' ' 'PO BOX 41574 ' 'PHILADELPHIA ' 'PA' '191011574' '8666817368' 'PDP'

'D519' '20180810' 'A' 'D' 'BASIC BLUE RX ' ' ' 'PO BOX 52066 ' 'PHOENIX ' 'AZ' '850722066' '8773762185' 'PDP'

'D520' '20150908' 'A' 'D' 'BLUE MEDICARE RX ' ' ' 'PO BOX 280200 ' 'NASHVILLE ' 'TN' '372280200' '8667552776' 'PDP'

'D521' '20210920' 'A' 'D' 'BLUE RX PLUS ' ' ' 'PO BOX 3178 ' 'SCRANTON ' 'PA' '185053178' '8334091209' 'PDP'

'D550' '20150921' 'A' 'D' 'UPMC HEALTH PLAN PDP ' ' ' '1 CHATHAM CTR ' 'PITTSBURGH ' 'PA' '152193441' '8775393080' 'PDP'

'D561' '20240110' 'A' 'L' 'DENTAL HEALTH SERVICES HMO ' ' ' '3780 KILROY AIRPORT WAY STE 750 ' 'LONG BEACH ' 'CA' '908066855' '8625956000' 'HMO'

'D570' '20150908' 'A' 'D' 'EXCELLUS HEALTH PLAN PDP ' ' ' 'PO BOX 509098 ' 'SAN DIEGO ' 'CA' '921509098' '8005146930' 'PDP'

'D580' '20150908' 'A' 'D' 'HUMANA INSURANCE COMPANY OF NY' 'ATTN. HUMANA INSURANCE ' 'PO BOX 533 ' 'CAROL STREAM ' 'IL' '601320533' '8002816918' 'PDP'

'D590' '20151016' 'A' 'D' 'GROUP HEALTH SVCS OF OKLAHOMA ' ' ' 'PO BOX 144429 ' 'LEXINGTON ' 'KY' '405124429' '8882852249' 'PDP'

'D591' '20181029' 'A' 'D' 'MUTUAL OF OMAHA RX ' ' ' 'PO BOX 14718 ' 'LEXINGTON ' 'KY' '405124718' '8558646797' 'PDP'

'D592' '20181213' 'A' 'D' 'AARP/UHC MEDICARERX ' ' ' 'PO BOX 29045 ' 'HOT SPRINGS NATIONAL' 'AR' '719039045' '8778896510' 'PDP'

'D593' '20150908' 'A' 'D' 'FIRST HEALTH PREMIER ' ' ' 'PO BOX 2860 ' 'CLINTON ' 'IA' '527332860' '8668234701' 'PDP'

'D595' '20150908' 'A' 'D' 'HEALTHSPRING ' ' ' '9701 W HIGGINS RD STE 360 ' 'ROSEMONT ' 'IL' '600184731' '8586255686' 'PDP'

'D597' '20150908' 'A' 'D' 'FIRST UNITED AMERICAN LIFE INS' ' ' 'PO BOX 8080 ' 'MCKINNEY ' 'TX' '750708080' '8665244171' 'PDP'

'D600' '20150909' 'A' 'D' 'MARQUETTE NATL LIFE INS ' ' ' 'PO BOX 12148 ' 'PENSACOLA ' 'FL' '325912148' '8504321700' 'PDP'

'D605' '20150908' 'A' 'D' 'BLUE CROSS/SHIELD MICHIGAN ' ' ' 'PO BOX 14718 ' 'LEXINGTON ' 'KY' '405124718' '8004854415' 'PDP'

'D615' '20150908' 'A' 'D' 'HIGHMARK SENIOR RESOURCES ' ' ' 'PO BOX 2858 ' 'CLINTON ' 'IA' '527332858' '8002903914' 'PDP'

'D618' '20150908' 'A' 'D' 'BLUE CROSS MEDICARE RX ' ' ' 'PO BOX 9282 ' 'OXNARD ' 'CA' '930319282' '8009286201' 'PDP'

'D619' '20150909' 'A' 'D' 'PENNSYLVANIA LIFE INSURANCE CO' ' ' 'PO BOX 130 ' 'PENSACOLA ' 'FL' '325910130' '8504321700' 'PDP'

'D625' '20150217' 'A' 'D' 'SILVERSCRIPT INSURANCE CO ' ' ' 'PO BOX 504849 ' 'SAINT LOUIS ' 'MO' '631504849' '8662355660' 'PDP'

'D630' '20150921' 'A' 'D' 'ASURIS NORTHWEST HEALTH ' ' ' '3871 FAIRVIEW INDUSTRIAL DR SE STE 120 ' 'SALEM ' 'OR' '973021172' '8005418981' 'PDP'

'D635' '20150908' 'A' 'D' 'CIGNA HEALTH CARE ' ' ' 'PO BOX 20002 ' 'NASHVILLE ' 'TN' '372024000' '8002226700' 'PDP'

'D650' '20150908' 'A' 'D' 'RXAMERICA ' ' ' '221 N CHARLES LINDBERGH DR ' 'SALT LAKE CITY ' 'UT' '841162811' '8004296686' 'PDP'

'D660' '20230929' 'A' 'D' 'MEDCO ' ' ' 'PO BOX 2872 ' 'CLINTON ' 'IA' '527332872' '8007584574' 'PDP'

'D670' '20150908' 'A' 'D' 'COVENTRY ADVANTRARX ' ' ' 'PO BOX 2860 ' 'CLINTON ' 'IA' '527332860' '8668235178' 'PDP'

'D675' '20150908' 'A' 'D' 'HEALTH NET ORANGE ' ' ' 'PO BOX 10198 ' 'VAN NUYS ' 'CA' '914100198' '8008068811' 'PDP'

'D680' '20150908' 'A' 'D' 'BLUE MEDICARE RX ' ' ' 'PO BOX 3897 ' 'SCRANTON ' 'PA' '185050897' '8882852249' 'PDP'

'D685' '20150908' 'A' 'D' 'BLUE MEDICARE RX ' ' ' 'PO BOX 412735 ' 'KANSAS CITY ' 'MO' '641412735' '8667552776' 'PDP'

'D687' '20150908' 'A' 'D' 'TEXAS HEALTHSPRING ' ' ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '8002808888' 'PDP'

'D690' '20150908' 'A' 'D' 'BLUE CROSS BLUE SHIELD ' ' ' 'PO BOX 53066 ' 'PHOENIX ' 'AZ' '850723066' '8888320075' 'PDP'

'D698' '20200325' 'A' 'D' 'WPS HEALTH INSURANCE ' ' ' 'PO BOX 21341 ' 'EAGAN ' 'MN' '551210341' '8006881604' 'PDP'

'D699' '20230601' 'A' 'F' 'DEVOTED CORE ALABAMA ' ' ' 'PO BOX 211524 ' 'EAGAN ' 'MN' '551212724' '38500916' 'MAP'

'D700' '20150909' 'A' 'D' 'UNITED AMERICAN INSURANCE ' ' ' 'PO BOX 8080 ' 'MCKINNEY ' 'TX' '750708080' '8665244169' 'PDP'

'D705' '20150909' 'A' 'D' 'FIRST HEALTH PREMIER ' ' ' 'PO BOX 2858 ' 'CLINTON ' 'IA' '527332858' '8668650662' 'PDP'

'D706' '20181129' 'A' 'D' 'VIBRANTRX ATTN: MEDIMPACT ' ' ' '10680 TREENA ST STOP 5 ' 'SAN DIEGO ' 'CA' '921312447' '8448263451' 'PDP'

'D707' '20150909' 'A' 'D' 'AMERIHEALTH ADVANTAGE ' ' ' 'PO BOX 516 ' 'ESSINGTON ' 'PA' '190290516' '8884573007' 'PDP'

'D710' '20150909' 'A' 'D' 'ARKANSAS BCBS ' ' ' 'PO BOX 2181 ' 'LITTLE ROCK ' 'AR' '722032181' '8663903369' 'PDP'

'D711' '20230602' 'A' 'F' 'DEVOTED CORE OREGON ' ' ' 'PO BOX 211524 ' 'EAGAN ' 'MN' '551212724' '8003386833' 'MAP'

'D720' '20150217' 'A' 'D' 'MEMBERHEALTH ' ' ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '5184479200' 'PDP'

'D722' '20150909' 'A' 'D' 'AARP MEDICARE RX PREFERRED ' ' ' 'PO BOX 29300 ' 'HOT SPRINGS NATIONAL' 'AR' '719039300' '8888675562' 'PDP'

'D730' '20210429' 'A' 'D' 'AETNA MEDICARE ' 'AETNA MEDICARE RX ' 'PO BOX 72446 ' 'PHOENIX ' 'AZ' '850501025' '8006240756' 'PDP'

'D735' '20150909' 'A' 'D' 'HEALTHSPRING ' ' ' 'PO BOX 2002 ' 'NASHVILLE ' 'TN' '37202' '8888861959' 'PDP'

'D742' '20150909' 'A' 'D' 'ELDER HEALTH PDP MID ATLANTIC ' ' ' '3601 ODONNELL ST ' 'BALTIMORE ' 'MD' '212245238' '4435731910' 'PDP'

'D750' '20150909' 'A' 'D' 'AMERICAN PROGRESSIVE ' ' ' '411 N BAYLEN ST ' 'PENSACOLA ' 'FL' '325013901' '8504321700' 'PDP'

'D755' '20150909' 'A' 'D' 'PRIORITY MEDICARE RX ' ' ' 'PO BOX 232 ' 'GRAND RAPIDS ' 'MI' '495010232' '6164648820' 'PDP'

'D759' '20150909' 'A' 'D' 'EDUCATORS MUTUAL INSURANCE ' ' ' 'PO BOX 14711 ' 'LEXINGTON ' 'KY' '405124711' '8003169176' 'PDP'

'D760' '20200401' 'A' 'D' 'HUMANA INSURANCE COMPANY ' ' ' 'PO BOX 14140 ' 'LEXINGTON ' 'KY' '405124140' '8002816918' 'PDP'

'D765' '20150909' 'A' 'D' 'PRESBYTERIAN INSURANCE CO ' ' ' 'PO BOX 26267 ' 'ALBUQUERQUE ' 'NM' '871256267' '5059236060' 'PDP'

'D769' '20150909' 'A' 'D' 'REGENCE LIFE AND HEALTH ' ' ' 'PO BOX 13249 ' 'SALEM ' 'OR' '973091249' '8005418981' 'PDP'

'D770' '20150217' 'A' 'D' 'SIERRA RX ' ' ' 'PO BOX 15645 ' 'LAS VEGAS ' 'NV' '891145645' '8667891522' 'PDP'

'D780' '20150909' 'A' 'D' 'HEALTHSPRING PDP ' ' ' 'PO BOX 20002 ' 'NASHVILLE ' 'TN' '372024000' '8885013965' 'PDP'

'D782' '20150909' 'A' 'D' 'INSTIL HEALTH INSURANCE CO ' ' ' 'PO BOX 1466 ' 'AUGUSTA ' 'GA' '309031466' '8774467845' 'PDP'

'D784' '20150909' 'A' 'D' 'BLUE CROSS BLUE SHIELD OF NC ' ' ' 'PO BOX 17509 ' 'WINSTON SALEM ' 'NC' '271167509' '8882474142' 'PDP'

'D785' '20150909' 'A' 'D' 'DEAN HEALTH INSURANCE ' ' ' '1277 DEMING WAY ' 'MADISON ' 'WI' '537171971' '6088274372' 'PDP'

'D790' '20150921' 'A' 'D' 'UNICARE PDP ' ' ' 'PO BOX 110 ' 'FOND DU LAC ' 'WI' '549360110' '8664706265' 'PDP'

'D795' '20150909' 'A' 'D' 'GHI MEDICARE DRUG PLAN ' ' ' 'PO BOX 66752 ' 'SAINT LOUIS ' 'MO' '631666752' '8005855786' 'PDP'

'D796' '20150909' 'A' 'D' 'WELLCARE PRESCRIPTION ' 'ATTN. CLAIMS DEPARTMENT ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8668006111' 'PDP'

'D800' '20150909' 'A' 'D' 'ODS ADVANTAGE RX ' 'ATTN. PERS ODS ADVANTAGE RX ' 'PO BOX 40327 ' 'PORTLAND ' 'OR' '972400327' '8887867509' 'PDP'

'D802' '20090714' 'A' 'D' 'BLUEMEDICARE RX ' ' ' 'PO BOX 64813 ' 'SAINT PAUL ' 'MN' '551640813' '8009266565' 'PDP'

'D803' '20130612' 'A' 'D' 'XAMASCRIPT ' ' ' 'PO BOX 66583 ' 'SAINT LOUIS ' 'MO' '631666583' '8004516245' 'PDP'

'D804' '20150909' 'A' 'D' 'MEDCO MEDICARE PRESCRIPTION ' ' ' 'PO BOX 66752 ' 'SAINT LOUIS ' 'MO' '631666752' '8007584570' 'PDP'

'E002' '20150909' 'A' 'D' 'ENVISION RX PLUS ' ' ' '2181 E AURORA RD STE 201 ' 'TWINSBURG ' 'OH' '440871974' '3304058080' 'PDP'

'E003' '20220914' 'A' 'F' 'ELDERPLAN FOR MEDICAID BENEFI ' ' ' 'PO BOX 73111 ' 'NEWNAN ' 'GA' '302713111' '7189217979' 'MAP'

'E004' '20220914' 'A' 'F' 'EMBLEMHEALTH VIP DUAL ' ' ' 'PO BOX 2845 ' 'NEW YORK ' 'NY' '101162845' '8773447364' 'MAP'

'E005' '20220914' 'A' 'F' 'EMBLEMHEALTH VIP DUAL RESERVE ' ' ' '55 WATER ST STE CONC1 ' 'NEW YORK ' 'NY' '100410014' '6464475000' 'MAP'

'E006' '20211007' 'A' 'P' 'FAC EMPLOYEE SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 5620 ' 'MADISON ' 'WI' '537050620' '8005584444' 'PPO'

'E007' '20211007' 'A' 'P' 'TRISTAR BENEFIT ADMIN. ' ' ' 'PO BOX 65887 ' 'WEST DES MOINES ' 'IA' '502650887' '8004564584' 'PPO'

'E008' '20161228' 'A' 'Q' 'EMPLOYEE HEALTH INSURANCE ' 'MANAGEMENT RX ' '26711 NWESTERN HWY STE 400 ' 'SOUTHFIELD ' 'MI' '480332154' '8003113446' 'PPO'

'E011' '20150217' 'A' 'P' 'EMERALD HMO ' ' ' 'PO BOX 94609 ' 'CLEVELAND ' 'OH' '441014609' '8007417562' 'HMO'

'E012' '20220914' 'A' 'F' 'EMPIRE MEDIBLUE DUAL ADVANTAG ' ' ' 'PO BOX 1407 ' 'NEW YORK ' 'NY' '100081407' '8444691762' 'MAP'

'E014' '20201116' 'A' 'P' 'EMPIRE BLUE CROSS/BLUE SHIELD ' 'ATTN HEALTH CLAIMS ' 'PO BOX 3877 ' 'NEW YORK ' 'NY' '100083877' '8003330912' 'PPO'

'E015' '20220914' 'A' 'F' 'EMPIRE MEDIBLUE HEALTHPLUS DU ' ' ' '9 PINE ST FL 14 ' 'NEW YORK ' 'NY' '100054702' '8337131080' 'MAP'

'E016' '20221208' 'A' 'F' 'ESSENCE DUAL ADVANTAGE ' ' ' 'PO BOX 5904 ' 'TROY ' 'MI' '480075904' '3142092700' 'MAP'

'E034' '20211007' 'A' 'P' 'ELECTRICAL WELFARE TRUST ' 'FUND LOC 26 ATTN HEALTH CLAIMS' '10003 DEREKWOOD LN STE 130 ' 'LANHAM ' 'MD' '207064811' '3017311050' 'PPO'

'E038' '20211007' 'A' 'P' 'EIT BENEFIT FUND ' 'LOC 134 ATTN HEALTH CLAIMS ' '221 N LA SALLE ST STE 200 ' 'CHICAGO ' 'IL' '606011214' '3127825442' 'PPO'

'E042' '20211007' 'A' 'P' 'WILLIAM C EARHART CO INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 4148 ' 'PORTLAND ' 'OR' '972084148' '8005471314' 'PPO'

'E051' '20161228' 'A' 'P' 'EMPLOYEE BENEFIT CLAIMS ' 'ATTN HEALTH CLAIMS ' '820 PARISH ST ' 'PITTSBURGH ' 'PA' '152203405' '8009224966' 'PPO'

'E078' '20210806' 'A' 'P' 'EQUITY LEAGUE WELFARE ' 'TRUST FUND ATTN HEALTH CLAIMS ' '165 W 46TH ST ' 'NEW YORK ' 'NY' '100362501' '8003445220' 'PPO'

'E100' '20210625' 'A' 'P' 'EMI HEALTH ' ' ' '5101 S COMMERCE DR ' 'MURRAY ' 'UT' '841074779' '8006625850' 'PPO'

'E108' '20220203' 'A' 'P' 'EMPLOYEE BENEFIT MGMT CORP ' 'ATTN HEALTH CLAIMS ' 'PO BOX 9057 ' 'DUBLIN ' 'OH' '430170957' '8773040761' 'PPO'

'E113' '20200213' 'A' 'P' 'EXCELLUS BCBS ' ' ' 'PO BOX 21146 ' 'EAGAN ' 'MN' '551210146' '8009208889' 'PPO'

'E132' '20150921' 'A' 'P' 'EXCLUSIVE CARE ' ' ' 'PO BOX 1508 ' 'RIVERSIDE ' 'CA' '925021508' '8009621133' 'HMO'

'E169' '20211007' 'A' 'P' 'AUXIENT ' 'ATTN HEALTH CLAIMS ' 'PO BOX 75008 ' 'CEDAR RAPIDS ' 'IA' '524075008' '3193983283' 'PPO'

'E217' '20150304' 'A' 'P' 'EMPLOYEE HEALTH SYST HMO ' ' ' '3131 S ANITA AVE ' 'EL MONTE ' 'CA' '91733' '3106411997' 'HMO'

'E219' '20220203' 'A' 'P' 'EMPLOYEE BENEFIT ADMIN MGMT ' 'CORP ATTN HEALTH CLAIMS ' 'PO BOX 5079 ' 'WESTLAKE VILLAGE ' 'CA' '913595079' '8002498440' 'PPO'

'E251' '20161228' 'A' 'P' 'CBCA ' 'ATTN HEALTH CLAIMS ' '3763 HOWARD HUGHES PKWY ' 'LAS VEGAS ' 'NV' '891690939' '7022214690' 'PPO'

'E267' '20190417' 'A' 'P' 'ESSENTIAL STAFF CARE ' ' ' 'PO BOX 6702 ' 'COLUMBIA ' 'SC' '292606702' '8667980803' 'PPO'

'E268' '20210614' 'A' 'Q' 'EXPRESS SCRIPTS ' ' ' 'PO BOX 52150 ' 'PHOENIX ' 'AZ' '850722150' '8008422012' 'TPP'

'E270' '20250109' 'A' 'F' 'WELLCARE CA MEDICARE ' 'ADVANTAGE ' 'PO BOX 260519 ' 'PLANO ' 'TX' '750260519' '8669993945' 'MAP'

'E288' '20200318' 'A' 'P' 'EMPIRE BLUE CROSS/BLUE SHIELD ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1407 ' 'NEW YORK ' 'NY' '100081407' '8006352184' 'HMO'

'E293' '20211007' 'A' 'P' 'EMPLOYEE BENEFIT MGMT SERVICES' 'ATTN HEALTH CLAIMS ' 'PO BOX 21367 ' 'BILLINGS ' 'MT' '591041367' '4062453575' 'PPO'

'E442' '20211007' 'A' 'P' 'EMPLOYEE BENEFIT CONCEPTS INC' 'ATTN HEALTH CLAIMS ' 'PO BOX 2365 ' 'FARMINGTON HILLS ' 'MI' '483332365' '8003344101' 'PPO'

'E564' '20220203' 'A' 'P' 'EMBLEM HEALTH HMO ' ' ' 'PO BOX 2814 ' 'NEW YORK ' 'NY' '101162814' '8778423625' 'HMO'

'E565' '20210920' 'A' 'D' 'EXEMPLAR HEALTH BASIC ' ' ' '1107 W MARKET CENTER DR ' 'HIGH POINT ' 'NC' '272601642' '8882172376' 'PDP'

'F003' '20220401' 'A' 'P' 'FRIDAY HEALTH PLANS ' ' ' 'PO BOX 194 ' 'SIDNEY ' 'NE' '691620194' '8442794335' 'HMO'

'F004' '20150909' 'A' 'F' 'FLORIDA SUMMIT ADVANTRA ' ' ' 'PO BOX 7808 ' 'LONDON ' 'KY' '407427808' '8008473995' 'MAP'

'F005' '20220914' 'A' 'F' 'FREEDOM MEDI-MEDI PARTIAL ' ' ' '5403 N CHURCH AVE ' 'TAMPA ' 'FL' '336145611' '8004012740' 'MAP'

'F008' '20221208' 'A' 'F' 'FIRST CHOICE VIP CARE PLUS ' ' ' 'PO BOX 7106 ' 'LONDON ' 'KY' '407427106' '8889780862' 'MAP'

'F010' '20221208' 'A' 'F' 'FREEDOM BLUE PPO SIGNATURE ' ' ' 'PO BOX 1068 ' 'PITTSBURGH ' 'PA' '152301068' '8884594020' 'MAP'

'F011' '20221223' 'A' 'F' 'FLORIDA COMPLETE CARE ' ' ' '201 E PARK AVE ST 400B & 400C ' 'TALLAHASSEE ' 'FL' '32301' '8333227526' 'MAP'

'F012' '20250715' 'A' 'V' 'FRINGE BENEFIT GROUP ' ' ' 'PO BOX 211704 ' 'EAGAN ' 'MN' '551213704' '8554951190' 'TPM'

'F028' '20211007' 'A' 'P' 'REDWOOD HEALTH SERVICES ' 'ATTN HEALTH CLAIMS ' '3570 UNOCAL PL STE 108 ' 'SANTA ROSA ' 'CA' '954031774' '8005487677' 'PPO'

'F039' '20161228' 'A' 'P' 'FELRA HWF ' 'ATTN HEALTH CLAIMS ' 'PO BOX 27806 ' 'BALTIMORE ' 'MD' '212857806' '8006382972' 'PPO'

'F042' '20161228' 'A' 'P' 'FLEX CORP ' 'ATTN HEALTH CLAIMS ' '5700 NW CENTRAL DR STE 320 ' 'HOUSTON ' 'TX' '770922097' '8004441311' 'PPO'

'F051' '20210806' 'A' 'P' 'STANISLAUS FMC ' 'ATTN MEDICAL DENTAL CLAIMS ' 'PO BOX 576007 ' 'MODESTO ' 'CA' '953576007' '8009627362' 'PPO'

'F055' '20210806' 'A' 'P' 'FMC OF KERN AND SANTA BARBARA ' ' ' '5701 TRUXTUN AVE STE 100 ' 'BAKERSFIELD ' 'CA' '933090651' '6613277581' 'PPO'

'F061' '20230505' 'A' 'F' 'FLORIDA PHP ' ' ' 'PO BOX 46160 ' 'LOS ANGELES ' 'CA' '900460160' '8884564715' 'MAP'

'F067' '20151006' 'A' 'F' 'UNITED HEALTHCARE WEST ' ' ' 'PO BOX 52078 ' 'PHOENIX ' 'AZ' '850722078' '8009509355' 'MAP'

'F078' '20210806' 'A' 'P' 'FMC OF TULARE AND KINGS ' 'ATTN HEALTH CLAIMS ' '3335 S FAIRWAY ST ' 'VISALIA ' 'CA' '932777781' '8006625502' 'PPO'

'F088' '20230505' 'A' 'F' 'FALLON MEDICARE PLUS ORANGE ' ' ' 'PO BOX 211308 ' 'EAGAN ' 'MN' '551212908' '8003255669' 'MAP'

'F089' '20211007' 'A' 'P' 'FALLON COMMUNITY HEALTH PLAN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 15121 ' 'WORCESTER ' 'MA' '16150121' '8008685200' 'PPO'

'F104' '20241223' 'A' 'F' 'FHCN PACE ' ' ' '3736 MT DIABLO BLVD STE 240 ' 'LAFAYETTE ' 'CA' '945493611' '7015669255' 'MAP'

'F117' '20210806' 'A' 'P' 'FMC OF MERCED AND MARIPOSA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 3846 ' 'MERCED ' 'CA' '953441846' '2097239157' 'PPO'

'F120' '20200318' 'A' 'P' 'HUMBOLDT IPA ' 'ATTN HEALTH CLAIMS ' '2662 HARRIS ST ' 'EUREKA ' 'CA' '955034856' '7074434563' 'PPO'

'F138' '20220203' 'A' 'P' 'FIRST CHOICE HEALTH ADMIN. ' 'ATTN HEALTH CLAIMS ' 'PO BOX 12659 ' 'SEATTLE ' 'WA' '981114659' '8004303818' 'PPO'

'F167' '20240103' 'A' 'D' 'FEP MEDICARE PDP ' ' ' 'PO BOX 6590 ' 'LEES SUMMIT ' 'MO' '640646590' '8883387737' 'PDP'

'F186' '20161228' 'A' 'P' 'FEDERATED MUTUAL INS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 50487 ' 'INDIANAPOLIS ' 'IN' '462500487' '3178497550' 'PPO'

'F210' '20160120' 'A' 'P' 'FARM BUREAU LIFE INS CO ' 'ATTN HEALTH CLAIMS ' '5400 UNIVERSITY AVE ' 'WEST DES MOINES ' 'IA' '502665950' '5152255400' 'PPO'

'F235' '20210614' 'A' 'Q' 'NAVITUS HEALTH SOLUTIONS ' ' ' 'PO BOX 999 ' 'APPLETON ' 'WI' '549120999' '8555701600' 'PPO'

'F237' '20211007' 'A' 'P' 'FOX EVERETT TPA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 6012 ' 'RIDGELAND ' 'MS' '391586012' '8774766327' 'PPO'

'F249' '20161228' 'A' 'P' 'FOX VALLEY LABORERS HWF 582 ' 'ATTN HEALTH CLAIMS ' '2400 BIG TIMBER RD STE 206 ' 'ELGIN ' 'IL' '601247835' '8668280900' 'PPO'

'F271' '20211007' 'A' 'P' 'FCE BENEFIT ADMINISTRATORS ' ' ' '4615 WALZEM RD ' 'SAN ANTONIO ' 'TX' '782181667' '8008999355' 'PPO'

'F291' '20160121' 'A' 'P' 'FOUNDATION/FRESNO CO ' 'ATTN HEALTH CLAIMS ' '1180 E SHAW AVE STE 101 ' 'FRESNO ' 'CA' '937107812' '2092285487' 'PPO'

'F560' '20250731' 'A' 'F' 'FAMILYHEALTH CNTR PACE ' ' ' '500 E SCHOOL AVE ' 'VISALIA ' 'CA' '932926423' '8773267223' 'MAP'

'F561' '20250731' 'A' 'F' 'FAMILYHEALTH CNTR MEDI PACE ' ' ' '500 E SCHOOL AVE ' 'VISALIA ' 'CA' '932926423' '8773267223' 'MAP'

'F562' '20250806' 'A' 'F' 'FHCN PACE DUAL PACE ' ' ' '500 E SCHOOL AVE ' 'VISALIA ' 'CA' '932926423' '8773267223' 'MAP'

'F563' '20250806' 'A' 'F' 'FHCN PACE MEDICARE ONLY PACE ' ' ' '500 E SCHOOL AVE ' 'VISALIA ' 'CA' '932926423' '8773267223' 'MAP'

'F773' '20200325' 'A' 'D' 'FOX INSURANCE COMPANY ' ' ' '6263 N SCOTTSDALE RD ' 'SCOTTSDALE ' 'AZ' '852505406' '9999999999' 'PDP'

'G001' '20190301' 'A' 'P' 'GREAT WEST NATIONAL ACCOUNT ' 'ATTN HEALTH CLAIMS ' 'PO BOX 188061 ' 'CHATTANOOGA ' 'TN' '374228061' '8006638081' 'PPO'

'G004' '20160322' 'A' 'F' 'BLUE SHIELD OF CALIFORNIA ' ' ' 'PO BOX 752 ' 'BAKERSFIELD ' 'CA' '933020752' '6617168800' 'MAP'

'G005' '20230324' 'A' 'F' 'GOLDEN STATE MEDICARE HEALTH P' 'CLAIMS ' 'PO BOX 10729 ' 'NEWPORT BEACH ' 'CA' '926585006' '8775414111' 'MAP'

'G006' '20220914' 'A' 'F' 'GATEWAY HEALTH MEDICARE ASSUR ' ' ' 'PO BOX 93 ' 'SIDNEY ' 'NE' '691620093' '4122551323' 'MAP'

'G007' '20220914' 'A' 'F' 'GEISINGER GOLD SECURE RX ' ' ' 'PO BOX 853910 ' 'RICHARDSON ' 'TX' '750853910' '5702718771' 'MAP'

'G008' '20221208' 'A' 'F' 'GENERATIONS CLASSIC ' ' ' 'PO BOX 2328 ' 'OKLAHOMA CITY ' 'OK' '731012328' '4052805555' 'MAP'

'G012' '20211007' 'A' 'P' 'GEISINGER HEALTH PLAN ' ' ' 'PO BOX 8200 ' 'DANVILLE ' 'PA' '178218200' '8004474000' 'HMO'

'G015' '20210416' 'A' 'L' 'INDEPENDENCE DENTAL ' 'ATTN DENTAL CLAIMS ' 'PO BOX 13668 ' 'READING ' 'PA' '196123668' '8002277620' 'PPO'

'G016' '20160120' 'A' 'P' 'GROUP HEALTH PLAN ' 'ATTN HEALTH CLAIMS ' '2420 FENTON ST STE 100 ' 'CHULA VISTA ' 'CA' '919143516' '8002247766' 'HMO'

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'G043' '20161228' 'A' 'P' 'GMS INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 24708 ' 'OMAHA ' 'NE' '681240708' '8002235508' 'PPO'

'G044' '20211007' 'A' 'P' 'GROUP BENEFIT SERV ' 'ATTN HEALTH CLAIMS ' '6 NORTH PARK DR STE 310 ' 'HUNT VALLEY ' 'MD' '210301821' '8006386085' 'PPO'

'G051' '20151019' 'A' 'L' 'GROUP AND PENSION ADMIN ' 'ATTN DENTAL CLAIMS ' 'PO BOX 749075 ' 'DALLAS ' 'TX' '753749075' '8662063224' 'PPO'

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'G118' '20161228' 'A' 'P' 'GRANITE SERV INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 5108 ' 'TAMPA ' 'FL' '336755108' '8038755800' 'PPO'

'G122' '20200318' 'A' 'P' 'GILSBAR INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2947 ' 'COVINGTON ' 'LA' '704342947' '8004457227' 'PPO'

'G126' '20200310' 'A' 'P' 'GEHA ' ' ' 'PO BOX 4665 ' 'INDEPENDENCE ' 'MO' '640514665' '8008216136' 'PPO'

'G202' '20160119' 'A' 'P' 'GOLDEN RULE INSURANCE COMPANY ' 'ATTN HEALTH CLAIMS ' 'PO BOX 31374 ' 'SALT LAKE CITY ' 'UT' '841310374' '8006578205' 'PPO'

'G206' '20161228' 'A' 'P' 'GROUP HEALTH INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2832 ' 'NEW YORK ' 'NY' '101162832' '8003585500' 'PPO'

'G212' '20160119' 'A' 'P' 'GROUP & PENSION ADMINISTRATORS' 'ATTN HEALTH CLAIMS ' 'PO BOX 749075 ' 'DALLAS ' 'TX' '753749075' '8008436705' 'PPO'

'G226' '20211007' 'A' 'P' 'GROUP & PENSION ADMINISTRATORS' 'ATTN: HEALTH CLAIMS ' '12770 MERIT DR STE 200 ' 'DALLAS ' 'TX' '752511233' '8008277223' 'PPO'

'G230' '20200325' 'A' 'P' 'GENSTAR HEALTH PLAN ' 'NEW SYSTEMS INC ' 'PO BOX 1255 ' 'STAMFORD ' 'CT' '69041255' '8003880508' 'PPO'

'G298' '20161228' 'A' 'P' 'GOLDEN HEALTH INSURANCE ' 'ATTN HEALTH CLAIMS ' '6400 LAUREL CANYON BLVD STE 650 ' 'NORTH HOLLYWOOD ' 'CA' '916061571' '8185064100' 'PPO'

'G305' '20161228' 'A' 'P' 'GROUP HEALTH INC ' 'ATTN HEALTH CLAIMS ' '2829 UNIVERSITY AVE SE ' 'MINNEAPOLIS ' 'MN' '554143230' '6126238400' 'PPO'

'G339' '20210415' 'A' 'L' 'THE GUARDIAN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 981572 ' 'EL PASO ' 'TX' '799981572' '8005417846' 'PPO'

'G346' '20210415' 'A' 'L' 'GUARDIAN DENTAL PLAN ' 'ATTN GROUP DENTAL CLAIMS ' 'PO BOX 981572 ' 'EL PASO ' 'TX' '799981572' '8005417846' 'TPD'

'G359' '20161228' 'A' 'P' 'GROUP AND PENSION ADMIN INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 691930 ' 'SAN ANTONIO ' 'TX' '782691930' '8005943973' 'PPO'

'G651' '20250731' 'A' 'F' 'GARY AND MARY WEST PACE ' ' ' '1706 DESCANSO AVE ' 'SAN MARCOS ' 'CA' '920782514' '7602802230' 'MAP'

'G652' '20250731' 'A' 'F' 'GARY AND MARY WEST PACE ' ' ' '1706 DESCANSO AVE ' 'SAN MARCOS ' 'CA' '920782514' '7602802230' 'MAP'

'H002' '20160303' 'A' 'F' 'HUMANA ' 'HUMANA CLAIMS OFFICE ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H004' '20220914' 'A' 'F' 'HAP EMPOWERED DUALS ' ' ' '2050 S. LINDEN ROAOD ' 'FLINT ' 'MI' '48532' '8102302046' 'MAP'

'H006' '20160303' 'A' 'F' 'HUMANA ' 'HUMANA CLAIMS OFFICE ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H007' '20160119' 'A' 'P' 'HEALTH PLAN SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 720 ' 'PUEBLO ' 'CO' '810020720' '8778423210' 'PPO'

'H008' '20230830' 'A' 'F' 'HEALTH FIRST ' ' ' '6450 US HIGHWAY 1 ' 'ROCKLEDGE ' 'FL' '329555747' '8007167737' 'MAP'

'H009' '20220914' 'A' 'F' 'HEALTH CHOICE GENERATIONS UTA ' ' ' 'PO BOX 45900 ' 'SALT LAKE CITY ' 'UT' '841450900' '8444578943' 'MAP'

'H010' '20161228' 'A' 'P' 'HEALTH SERVICE SYSTEM ' 'ATTN HEALTH CLAIMS ' '1145 MARKET ST FL 2 ' 'SAN FRANCISCO ' 'CA' '941031547' '8007952351' 'PPO'

'H011' '20220914' 'A' 'F' 'HEALTH CHOICE PATHWAY ' ' ' 'PO BOX 52033 ' 'PHOENIX ' 'AZ' '850722033' '8006568991' 'MAP'

'H012' '20230829' 'A' 'F' 'HUMANA ' 'HUMANA CLAIMS OFFICE ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8007945907' 'MAP'

'H013' '20200304' 'A' 'F' 'HEALTH NET ' 'MEDICARE CLAIMS ' 'PO BOX 14703 ' 'LEXINGTON ' 'KY' '405124703' '8002754737' 'MAP'

'H014' '20210415' 'A' 'L' 'HAWAII DENTAL SERVICE ' 'ATTN DENTAL CLAIMS ' '900 FIRST STREET MALL STE 1900 ' 'HONOLULU ' 'HI' '968134108' '8085211431' 'PPO'

'H015' '20220914' 'A' 'F' 'HEALTHY BLUE + MEDICARE ' ' ' 'PO BOX 62947 ' 'VIRGINIA BEACH ' 'VA' '234662947' '8337131078' 'MAP'

'H018' '20161228' 'A' 'P' 'HEALTHCARE BENEFITS INC ' ' ' 'PO BOX 833889 ' 'RICHARDSON ' 'TX' '750833889' '9726694600' 'PPO'

'H019' '20160119' 'A' 'F' 'HUMANA ' 'CLAIMS OFFICE ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778091810' 'MAP'

'H020' '20160119' 'A' 'F' 'HUMANA ' 'CLAIMS OFFICE ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778091810' 'MAP'

'H021' '20220914' 'A' 'F' 'HEALTHY BLUE DUAL ADVANTAGE ' ' ' 'PO BOX 61010 ' 'VIRGINIA BEACH ' 'VA' '234661010' '8442095406' 'MAP'

'H022' '20210806' 'A' 'P' 'HEALTH PLANS INC. ' ' ' 'PO BOX 5199 ' 'WESTBOROUGH ' 'MA' '15815199' '8777346692' 'PPO'

'H024' '20140123' 'A' 'F' 'HUMANA ' 'CLAIMS OFFICE ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H027' '20220914' 'A' 'F' 'HEALTHPARTNERS MINNESOTA SENI ' ' ' 'PO BOX 1309 ' 'MINNEAPOLIS ' 'MN' '554401309' '9529677029' 'MAP'

'H028' '20160119' 'A' 'F' 'HUMANA ' 'CLAIMS OFFICE ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778091810' 'MAP'

'H029' '20220914' 'A' 'F' 'HMSA AKAMAI ADVANTAGE DUAL CA ' ' ' 'PO BOX 860 ' 'HONOLULU ' 'HI' '968080860' '8089486000' 'MAP'

'H030' '20160119' 'A' 'F' 'HUMANA ' 'CLAIMS OFFICE ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778091810' 'MAP'

'H031' '20220914' 'A' 'F' 'HUMANA GOLD PLUS ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H032' '20150811' 'A' 'D' 'HEALTH ALLIANCE MEDICARE ' ' ' '301 S VINE ST ' 'URBANA ' 'IL' '618013347' '8552919311' 'PDP'

'H033' '20230831' 'A' 'F' 'HUMANA GOLD PLUS ' ' ' 'PO BOX 14732 ' 'LEXINGTON ' 'KY' '405124732' '8004574708' 'MAP'

'H034' '20161228' 'A' 'P' 'HARRINGTON BENEFIT SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 740 ' 'PUEBLO ' 'CO' '810020740' '8006883860' 'PPO'

'H035' '20220914' 'A' 'F' 'HUMANA GOLD PLUS ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H036' '20220914' 'A' 'F' 'HUMANA GOLD PLUS ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H037' '20220914' 'A' 'F' 'HUMANA GOLD PLUS ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H038' '20220914' 'A' 'F' 'HUMANACHOICE ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H039' '20220914' 'A' 'F' 'HUMANACHOICE ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H041' '20161228' 'A' 'P' 'HARRISON ELECTRICAL WKR ' 'HWTF ATTN HEALTH CLAIMS ' '1220 SW MORRISON ST STE 300 ' 'PORTLAND ' 'OR' '972052299' '5032240048' 'PPO'

'H042' '20220914' 'A' 'F' 'HUMANACHOICE ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H043' '20220914' 'A' 'F' 'HUMANACHOICE ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H044' '20221205' 'A' 'P' 'HUMANA MEDICAL PLAN ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004486262' 'PPO'

'H045' '20221208' 'A' 'F' 'HEALTH FIRST CLASSIC PLAN ' ' ' 'PO BOX 958438 ' 'LAKE MARY ' 'FL' '327958438' '8007167737' 'MAP'

'H046' '20221208' 'A' 'F' 'HUMANA CHOICE ' ' ' '774 VETERANS MEMORIAL BLVD ' 'METAIRIE ' 'LA' '700052840' '8552296848' 'MAP'

'H047' '20221208' 'A' 'F' 'HUMANA GOLD PLUS ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H048' '20221208' 'A' 'F' 'HUMANACHOICE ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H049' '20230526' 'A' 'F' 'HIGHMARK BLUE CROSS BLUE SHIE ' ' ' '3480 2ND AVE ' 'SACRAMENTO ' 'CA' '958172803' '8003292792' 'MAP'

'H051' '20230712' 'A' 'F' 'HUMANA COMMUNITY HMO ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H052' '20221216' 'A' 'F' 'HUMANA GOLD PLUS INTEGRATED ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8007873311' 'MAP'

'H053' '20221223' 'A' 'F' 'HEALTHFIRST SIGNATURE ' ' ' '545 E 142ND ST ' 'BRONX ' 'NY' '104542110' '8557711081' 'MAP'

'H054' '20221223' 'A' 'F' 'HEALTHPARTNERS JOURNEY STEADY ' ' ' 'PO BOX 1289 ' 'MINNEAPOLIS ' 'MN' '554401289' '9528836655' 'MAP'

'H055' '20221223' 'A' 'F' 'HEALTHPARTNERS UNITYPOINT HEA ' ' ' 'PO BOX 1289 ' 'MINNEAPOLIS ' 'MN' '554401289' '8883600544' 'MAP'

'H056' '20241015' 'A' 'P' 'HEALTHFIRST NY ' ' ' 'PO BOX 5168 ' 'NEW YORK ' 'NY' '102745168' '8888011660' 'PPO'

'H057' '20250717' 'A' 'F' 'HERITAGE PACE ' ' ' '1818 S WESTERN AVE STE 100 ' 'LOS ANGELES ' 'CA' '900065862' '8888041118' 'MAP'

'H059' '20160119' 'A' 'P' 'HEALTH ALLIANCE PLAN ' 'ATTN HEALTH CLAIMS ' '2850 W GRAND BLVD ' 'DETROIT ' 'MI' '482022643' '8883102533' 'HMO'

'H062' '20160119' 'A' 'P' 'HERITAGE CONSULTANTS INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1387 ' 'LAKE ALFRED ' 'FL' '338501387' '8639674139' 'PPO'

'H071' '20160119' 'A' 'D' 'HIP HEALTH PLAN OF NEW YORK ' ' ' '186 FREDRICK ST ' 'PARAMUS ' 'NJ' '76524545' '6464477197' 'PDP'

'H102' '20190722' 'A' 'P' 'HEALTHCOMP ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 45018 ' 'FRESNO ' 'CA' '937185018' '8004427247' 'PPO'

'H103' '20190417' 'A' 'P' 'HEALTH PLAN OF NEVADA ' 'ATTN BRIDGET COUGHLIN ' 'PO BOX 15645 ' 'LAS VEGAS ' 'NV' '891145645' '8007771840' 'HMO'

'H104' '20210326' 'A' 'L' 'HEALTHCOMP ADMIN DENTAL ' ' ' 'PO BOX 45018 ' 'FRESNO ' 'CA' '937185018' '8004427247' 'PPO'

'H105' '20211007' 'A' 'P' 'HEALTH ALLIANCE MEDICAL PLAN ' 'ATTN HEALTH CLAIMS ' '301 S VINE ST ' 'URBANA ' 'IL' '618017402' '8008513379' 'PPO'

'H106' '20210326' 'A' 'E' 'HEALTHCOMP ADMIN VISION ' ' ' 'PO BOX 45018 ' 'FRESNO ' 'CA' '937185018' '8004427247' 'PPO'

'H107' '20240916' 'A' 'F' 'HIGH DESERT PACE ' ' ' '11833 AMETHYST RD ' 'VICTORVILLE ' 'CA' '923929221' '8885750609' 'MAP'

'H108' '20151005' 'A' 'L' 'UMR DENTAL CLAIMS ' ' ' 'PO BOX 30541 ' 'SALT LAKE CITY ' 'UT' '841300541' '8008269781' 'PPO'

'H117' '20151005' 'A' 'L' 'HEALTH RESOURCES INC ' 'ATTN DENTAL CLAIMS ' 'PO BOX 659 ' 'EVANSVILLE ' 'IN' '477040659' '8007271444' 'PPO'

'H118' '20221208' 'A' 'L' 'HUMANA DENTAL ' 'ATTN DENTAL CLAIMS ' 'PO BOX 14611 ' 'LEXINGTON ' 'KY' '405124611' '8778453480' 'PPO'

'H120' '20230505' 'A' 'F' 'HIGHMARK BLUE CROSS BLUE ' ' ' 'PO BOX 226 ' 'PITTSBURGH ' 'PA' '152300226' '8552159239' 'MAP'

'H121' '20211007' 'A' 'P' 'HERITAGE HEALTH PLANS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 10749 ' 'BAKERSFIELD ' 'CA' '933890749' '6.61327E+13' 'PPO'

'H122' '20160204' 'A' 'P' 'HIGHMARK BCBS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1505 ' 'RED BLUFF ' 'CA' '960801505' '8008165527' 'PPO'

'H130' '20191118' 'A' 'P' 'UHA HEALTH INSURANCE ' ' ' '700 BISHOP ST STE 300 ' 'HONOLULU ' 'HI' '968134100' '8004584600' 'PPO'

'H140' '20160204' 'A' 'P' 'HEALTH CARE SERVICES CORP ' ' ' 'PO BOX 27360 ' 'ALBUQUERQUE ' 'NM' '871257360' '8008358699' 'PPO'

'H145' '20211007' 'A' 'P' 'HEALTHCARE MGMT ADMIN INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 85008 ' 'BELLEVUE ' 'WA' '980158508' '8008697093' 'PPO'

'H149' '20151005' 'A' 'P' 'GMS TPA SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 21933 ' 'EAGAN ' 'MN' '551210933' '8005522929' 'PPO'

'H150' '20210625' 'A' 'P' 'WELFARE & PENSION ADMIN SRVS ' ' ' 'PO BOX 34203 ' 'SEATTLE ' 'WA' '981241203' '8007357053' 'PPO'

'H154' '20211007' 'A' 'F' 'HUMANA MEDICAL PLAN ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778091810' 'HMO'

'H175' '20161228' 'A' 'P' 'HOTEL EMPLOYEES RESTAURANT ' 'ATTN HEALTH CLAIMS ' 'PO BOX 6020 ' 'AURORA ' 'IL' '605980020' '8008413380' 'PPO'

'H179' '20160119' 'A' 'P' 'HOMETOWN HEALTH NETWORK ' 'ATTN HEALTH CLAIMS ' '52160 NATIONAL RD E ' 'SAINT CLAIRSVILLE ' 'OH' '439509306' '8778477901' 'PPO'

'H180' '20160303' 'A' 'P' 'HUMANA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778091810' 'PPO'

'H197' '20160119' 'A' 'P' 'HEALTH CLAIM SERVICES ' ' ' 'PO BOX 9615 ' 'DEERFIELD BEACH ' 'FL' '334429615' '8002223560' 'PPO'

'H200' '20160301' 'A' 'P' 'HEALTH PLAN OF SAN JOAQUIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 839 ' 'EL CERRITO ' 'CA' '945300839' '8009327526' 'HMO'

'H202' '20221205' 'A' 'P' 'HUMANA HEALTH CARE PLANS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004722249' 'HMO'

'H204' '20160119' 'A' 'P' 'HEWITT COLEMAN & ASSOCIATES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 6528 ' 'GREENVILLE ' 'SC' '296066528' '8882986828' 'PPO'

'H205' '20230110' 'A' 'L' 'HUMANA DENTAL HMO ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778771051' 'HMO'

'H219' '20250109' 'A' 'F' 'WELLCARE BY HEALTH NET DSNP ' ' ' '7700 FORSYTH BLVD ' 'CLAYTON ' 'MO' '631051813' '8006889021' 'MAP'

'H220' '20250110' 'A' 'F' 'WELLCARE BY HEALTHNET ' 'MEDICARE ADVANTAGE ' '7700 FORSYTH BLVD ' 'CLAYTON ' 'MO' '631051813' '8002754737' 'MAP'

'H224' '20160119' 'A' 'P' 'HARVEST LIFE INSURANCE CO ' 'ATTN HEALTH CLAIMS ' 'PO BOX 40010 ' 'LYNCHBURG ' 'VA' '245064010' '8002530856' 'PPO'

'H226' '20200325' 'A' 'P' 'HEALTH CARE ADMIN ' 'CITY OF MUSKOGEE ' 'PO BOX 1309 ' 'MUSKOGEE ' 'OK' '744021309' '9186826602' 'PPO'

'H228' '20160119' 'A' 'P' 'HARTFORD ACCIDENT/INDEMNITY ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1868 ' 'GRAPEVINE ' 'TX' '760991868' '8443804557' 'PPO'

'H230' '20200325' 'A' 'P' 'HEALTH ECONOMICS GRP ' 'ATTN HEALTH CLAIMS ' '1050 UNIVERSITY AVE STE A14607 ' 'ROCHESTER ' 'NY' '146071744' '7163853390' 'PPO'

'H231' '20190724' 'A' 'P' 'THE HEALTH PLAN ' ' ' '1110 MAIN ST ' 'WHEELING ' 'WV' '260032704' '8888477902' 'HMO'

'H233' '20161228' 'A' 'P' 'HEALTH CARE MEDICAL CTR ' 'ATTN HEALTH CLAIMS ' '14662 NEWPORT AVE ' 'TUSTIN ' 'CA' '927806064' '7148389600' 'PPO'

'H238' '20160119' 'A' 'P' 'HARTWELL CORP ' 'ATTN HEALTH CLAIMS ' '900 RICHFIELD RD ' 'PLACENTIA ' 'CA' '928706732' '7149934200' 'PPO'

'H252' '20190301' 'A' 'P' 'HEALTH NET ' 'ATTN COMMERCIAL CLAIMS ' 'PO BOX 9040 ' 'FARMINGTON ' 'MO' '636409040' '8006417761' 'PPO'

'H253' '20190417' 'A' 'P' 'HEALTH NET SNF ' ' ' 'PO BOX 9040 ' 'FARMINGTON ' 'MO' '636409040' '8006417761' 'PPO'

'H254' '20071210' 'A' 'P' 'HEALTH PLUS HMO ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2113 ' 'SEATTLE ' 'WA' '981112113' '2066704700' 'HMO'

'H257' '20220121' 'A' 'F' 'HEALTH NET MEDICARE COMPLEMENT' ' ' 'PO BOX 9030 ' 'FARMINGTON ' 'MO' '636409030' '8884458913' 'MAP'

'H258' '20231214' 'A' 'F' 'HUMANA COMMUNITY HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H263' '20161228' 'A' 'P' 'HEALTH FUTURE INC ' 'ATTN HEALTH CLAIMS ' '777 MURPHY RD ' 'MEDFORD ' 'OR' '975048425' '5037726062' 'TPM'

'H272' '20161228' 'A' 'P' 'HEALTH CARE SUPPORT ' 'ATTN HEALTH CLAIMS ' '25 COLUMBIA HTS ' 'BROOKLYN ' 'NY' '112011300' '8005544022' 'PPO'

'H274' '20161228' 'A' 'P' 'HEALTHY ALLIANCE LIFE INS ' 'ATTN HEALTH CLAIMS ' '1831 CHESTNUT ST ' 'SAINT LOUIS ' 'MO' '631032225' '8002279126' 'PPO'

'H283' '20200325' 'A' 'P' 'HEALTH CARE FUND OF SAN MATEO ' 'ATTN HEALTH CLAIMS ' '801 GATEWAY BLVD STE 100 ' 'SOUTH SAN FRANCISCO ' 'CA' '940807408' '6506162056' 'PPO'

'H284' '20160322' 'A' 'P' 'NEVADACARE INC. ' ' ' 'PO BOX 82505 ' 'LAS VEGAS ' 'NV' '891802505' '8004479834' 'HMO'

'H288' '20161228' 'A' 'P' 'HAWAII MGMT ALLIANCE ASSOC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 32580 ' 'HONOLULU ' 'HI' '968032580' '8006216998' 'PPO'

'H291' '20160217' 'A' 'P' 'HEALTH FIRST TPA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 132317 ' 'TYLER ' 'TX' '757132317' '8004772287' 'PPO'

'H295' '20210625' 'A' 'P' 'HEALTHSCOPE BENEFITS INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 16203 ' 'LUBBOCK ' 'TX' '794906203' '8008542339' 'PPO'

'H297' '20160217' 'A' 'P' 'HEALTH MARKET INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 69510 ' 'HARRISBURG ' 'PA' '171069510' '8002821414' 'PPO'

'H299' '20161228' 'A' 'P' 'HARRINGTON BENEFITS SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 725 ' 'PUEBLO ' 'CO' '810020725' '8774723028' 'PPO'

'H300' '20161228' 'A' 'P' 'HEALTH RISK MGMT INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1479 ' 'MINNEAPOLIS ' 'MN' '554401479' '8004220055' 'PPO'

'H306' '20160914' 'A' 'P' 'HOLMAN GROUP ' 'ATTN HEALTH CLAIMS ' '9451 CORBIN AVE STE 100 ' 'NORTHRIDGE ' 'CA' '913241662' '8187041444' 'PPO'

'H307' '20220203' 'A' 'P' 'HEALTH PARTNERS MEDICAL ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1289 ' 'MINNEAPOLIS ' 'MN' '554401289' '8004444558' 'PPO'

'H308' '20160217' 'A' 'L' 'HEALTH PARTNERS DENTAL ' 'ATTN DENTAL CLAIMS ' 'PO BOX 1172 ' 'MINNEAPOLIS ' 'MN' '554401172' '8006421323' 'PPO'

'H321' '20150218' 'A' 'F' 'HEALTH NET LIFE INSURANCE ' 'ATTN: COMMERCIAL CLAIMS ' 'PO BOX 14703 ' 'LEXINGTON ' 'GA' '40513' '8006417761' 'MAP'

'H325' '20150218' 'A' 'F' 'HEALTHPLAN OF SAN MATEO ' 'CARE ADVANTAGE ' '701 GATEWAY BLVD STE 400 ' 'SOUTH SAN FRANCISCO ' 'CA' '940807041' '6506162174' 'MAP'

'H331' '20211118' 'A' 'F' 'HEALTH NEW ENGLAND ' 'ATTN: MEDICARE ' '1 MONARCH PL STE 1500 ' 'SPRINGFIELD ' 'MA' '11444035' '8774433313' 'HMO'

'H413' '20190301' 'A' 'P' 'HEALTH NET HMO ' ' ' 'PO BOX 9040 ' 'FARMINGTON ' 'MO' '636409040' '8006417761' 'HMO'

'H419' '20220301' 'A' 'F' 'HUMANACHOICE (NY) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H422' '20130726' 'A' 'F' 'HUMANA HEALTH PLAN OF ' 'CALIFORNIA ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H426' '20220118' 'A' 'F' 'HUMANA GOLD PLUS (NV) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H427' '20220301' 'A' 'F' 'HEALTHSUN SUNPLUS ADVANTAGE ' ' ' '9250 W FLAGLER ST STE 600 ' 'MIAMI ' 'FL' '331743460' '3054474458' 'MAP'

'H429' '20220118' 'A' 'F' 'HUMANA CHOICE (OR) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H430' '20220118' 'A' 'F' 'HUMANA GOLD PLUS (TX) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H431' '20230831' 'A' 'F' 'HUMANACHOICE (OK) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H432' '20220120' 'A' 'F' 'HUMANA GOLD PLUS (WA) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H433' '20220301' 'A' 'F' 'HUMANA GOLD PLUS ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H434' '20220301' 'A' 'F' 'HUMANA GOLD PLUS (AZ) ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8004574708' 'MAP'

'H435' '20220302' 'A' 'F' 'HUMANACHOICE PPO ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H437' '20231011' 'A' 'P' 'HEALTHSMART ' ' ' 'PO BOX 240669 ' 'APPLE VALLEY ' 'MN' '551240669' '8665247328' 'PPO'

'H438' '20220330' 'A' 'F' 'HUMANACHOICE (TX) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H440' '20220330' 'A' 'F' 'HUMANA COMMUNITY HMO ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H441' '20220330' 'A' 'F' 'HUMANACHOICE (NC) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H442' '20220510' 'A' 'F' 'HUMANACHOICE (OK) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H443' '20220602' 'A' 'F' 'HUMANACHOICE (MS) ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004574708' 'MAP'

'H448' '20250422' 'A' 'F' 'HABITAT HEALTH PACE ' ' ' '39 ARKANSAS ST ' 'SAN FRANCISCO ' 'CA' '941072434' '8446642248' 'MAP'

'H450' '20210930' 'A' 'P' 'HI WESTERN MANAGEMENT GROUP ' ' ' 'PO BOX 32580 ' 'HONOLULU ' 'HI' '968032580' '8089414622' 'PPO'

'H472' '20250806' 'A' 'F' 'HIGH DESERT PACE ' ' ' '11833 AMETHYST RD ' 'VICTORVILLE ' 'CA' '923929221' '8885750609' 'MAP'

'H473' '20250806' 'A' 'F' 'HIGH DESERT PACE ' ' ' '11833 AMETHYST RD ' 'VICTORVILLE ' 'CA' '923929221' '8885750609' 'MAP'

'H511' '20210421' 'A' 'P' 'HEALTHWORX ' ' ' '801 GATEWAY BLVD STE 100 ' 'SOUTH SAN FRANCISCO ' 'CA' '940807408' '8007504776' 'HMO'

'H783' '20230808' 'A' 'F' 'HUMANA GOLD PLUS ' ' ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8004486262' 'MAP'

'H785' '20230201' 'A' 'F' 'CAREADVANTAGE CAL MEDICONNECT ' ' ' '801 GATEWAY BLVD STE 100 ' 'SOUTH SAN FRANCISCO ' 'CA' '940807408' '6506160050' 'MAP'

'H819' '20250806' 'A' 'F' 'HUMANA COMMUNITY HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H820' '20250805' 'A' 'F' 'HUMANA GOLD PLUS GIVEBACK HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H821' '20250805' 'A' 'F' 'HUMANA GOLD PLUS GIVEBACK HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H822' '20250805' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H823' '20250805' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H824' '20250805' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H825' '20250805' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H826' '20250805' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H827' '20250805' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H828' '20250805' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H829' '20250806' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H831' '20250805' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H832' '20250805' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H833' '20250806' 'A' 'F' 'HUMANA GOLD PLUS HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H835' '20250805' 'A' 'F' 'HUMANA USAA HONOR GB HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H836' '20250805' 'A' 'F' 'HUMANA USAA HONOR GB PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H837' '20250805' 'A' 'F' 'HUMANA USAA HONOR GB PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H838' '20250805' 'A' 'F' 'HUMANA USAA HONOR GIVEBACK RX ' ' PPO ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H839' '20250805' 'A' 'F' 'HUMANACHOICE PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H840' '20250805' 'A' 'F' 'HUMANACHOICE PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H841' '20250805' 'A' 'F' 'HUMANACHOICE PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H842' '20250805' 'A' 'F' 'HUMANACHOICE PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H843' '20250805' 'A' 'F' 'HUMANACHOICE PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H844' '20250805' 'A' 'F' 'HUMANACHOICE PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H845' '20250805' 'A' 'F' 'HUMANACHOICE PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H846' '20250805' 'A' 'F' 'HUMANACHOICE PPO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'H980' '20230728' 'A' 'F' 'HEALTHTEAM ADVANTAGE PLAN ' ' ' '7800 MCCLOUD RD STE 100 ' 'GREENSBORO ' 'NC' '274099821' '8889651965' 'MAP'

'H982' '20230808' 'A' 'F' 'SOLIS SPF ' ' ' 'PO BOX 211486 ' 'EAGAN ' 'MN' '551213086' '8444476547' 'MAP'

'H999' '20230406' 'A' 'D' 'MEDICARE PT D HCBS ELIGIBLE ' ' ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '9999999999' 'PPO'

'I005' '20161228' 'A' 'P' 'INSURANCE CLAIM SERVICE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 43350 ' 'BIRMINGHAM ' 'AL' '352430350' '8007418688' 'PPO'

'I006' '20220914' 'A' 'F' 'ICARE MEDICARE PLAN ' ' ' 'PO BOX 224255 ' 'DALLAS ' 'TX' '752224255' '4142234847' 'MAP'

'I008' '20221216' 'A' 'F' 'IEHP DUALCHOICE ' ' ' 'PO BOX 4349 ' 'RANCHO CUCAMONGA ' 'CA' '917294349' '8772734347' 'MAP'

'I009' '20230526' 'A' 'F' 'INDEPENDENT HEALTH MEDICARE P ' ' ' '511 FARBER LAKES DR ' 'BUFFALO ' 'NY' '142215779' '7162504401' 'MAP'

'I010' '20200325' 'A' 'F' 'IEHP HEALTH ACCESS ' ' ' 'PO BOX 1800 ' 'RANCHO CUCAMONGA ' 'CA' '917291800' '9098902790' 'MAP'

'I011' '20221216' 'A' 'F' 'INNOVATIVE INTEGRATED HEALTH ' ' ' '1200 NEWPORT CENTER DR STE 230 ' 'NEWPORT BEACH ' 'CA' '926600933' '5594006420' 'MAP'

'I012' '20230526' 'A' 'F' 'IIHCP COMMUNITY CHOICE ' ' ' '2042 KERN ST ' 'FRESNO ' 'CA' '937212008' '5594006426' 'MAP'

'I013' '20161228' 'A' 'P' 'INSURANCE SYSTEM INC. ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2175 ' 'MONROE ' 'LA' '712072175' '8002558730' 'PPO'

'I014' '20240709' 'A' 'P' 'INDIANA UNIVERSITY HLTH ' ' ' 'PO BOX 11196 ' 'PORTLAND ' 'ME' '41047196' '6689555980' 'PPO'

'I018' '20161228' 'A' 'P' 'INSURANCE CO OF NORTH AMERICA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 30007 ' 'RENO ' 'NV' '895203007' '7753561159' 'PPO'

'I038' '20180405' 'A' 'P' 'HEALTH NET OF ARIZONA ' 'ATTN ACS-HN ' 'PO BOX 9040 ' 'FARMINGTON ' 'MO' '636409040' '8006417761' 'PPO'

'I046' '20200325' 'A' 'P' 'CONIFER HEALTH ' ' ' '7624 WARREN PKWY ' 'FRISCO ' 'TX' '750344158' '8184615000' 'PPO'

'I048' '20180405' 'A' 'P' 'HEALTH NET OF ARIZONA INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 9040 ' 'FARMINGTON ' 'MO' '636409040' '8006417761' 'HMO'

'I064' '20250807' 'A' 'F' 'IEHP DUALCHOICE HMO DSNP ' ' ' 'PO BOX 1800 ' 'RANCHO CUCAMONGA ' 'CA' '917291800' '8772734347' 'MAP'

'I065' '20250805' 'A' 'F' 'IMPERIAL COURAGE PLAN HMO ' ' ' 'PO BOX 60874 ' 'PASADENA ' 'CA' '911166874' '8008388271' 'MAP'

'I066' '20250805' 'A' 'F' 'IMPERIAL DUAL PLAN HMO DSNP ' ' ' 'PO BOX 60874 ' 'PASADENA ' 'CA' '911166874' '8008388271' 'MAP'

'I067' '20250805' 'A' 'F' 'IMPERIAL DYNAMIC PLAN HMO ' ' ' 'PO BOX 60874 ' 'PASADENA ' 'CA' '911166874' '8008388271' 'MAP'

'I068' '20250805' 'A' 'F' 'IMPERIAL GIVEBACK HMO ' ' ' 'PO BOX 60874 ' 'PASADENA ' 'CA' '911166874' '8008388271' 'MAP'

'I069' '20250805' 'A' 'F' 'IMPERIAL SENIOR VAL HMO CSNP ' ' ' 'PO BOX 60874 ' 'PASADENA ' 'CA' '911166874' '8008388271' 'MAP'

'I070' '20250805' 'A' 'F' 'IMPERIAL TRADITIONAL HMO ' ' ' 'PO BOX 60874 ' 'PASADENA ' 'CA' '911166874' '8008388271' 'MAP'

'I071' '20250806' 'A' 'F' 'INNOVAGE CALIFORNIA PACE ' ' ' 'PO BOX 21931 ' 'EAGAN ' 'MN' '551210931' '7203827015' 'MAP'

'I072' '20250806' 'A' 'F' 'INNOVAGE CALIFORNIA PACE ' ' ' 'PO BOX 21931 ' 'EAGAN ' 'MN' '551210931' '7203827015' 'MAP'

'I073' '20250731' 'A' 'F' 'INNOVAGE PACE SAC DUAL ' ' ' 'PO BOX 21931 ' 'EAGAN ' 'MN' '551210931' '7203827015' 'MAP'

'I074' '20250731' 'A' 'F' 'INNOVAGE PACE SAC MEDICARE ' ' ' 'PO BOX 21931 ' 'EAGAN ' 'MN' '551210931' '7203827015' 'MAP'

'I075' '20250807' 'A' 'F' 'INNOVATIVE INT HEALTH PACE ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '8663719066' 'MAP'

'I076' '20250807' 'A' 'F' 'INNOVATIVE INT HEALTH PACE ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '8663719066' 'MAP'

'I084' '20221202' 'A' 'F' 'IEHP DUALCHOICE ' ' ' 'PO BOX 4349 ' 'RANCHO CUCAMONGA ' 'CA' '917294349' '8772734347' 'MAP'

'I096' '20161228' 'A' 'P' 'AMERIHEALTH ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 21545 ' 'EAGAN ' 'MN' '551210545' '8008415328' 'PPO'

'I104' '20211227' 'A' 'P' 'ILWU-PMA BENEFIT PLAN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 429101 ' 'SAN FRANCISCO ' 'CA' '941429101' '8009557376' 'PPO'

'I105' '20220301' 'A' 'F' 'IMPERIAL INSURANCE COMPANY ' ' ' 'PO BOX 60874 ' 'PASADENA ' 'CA' '911166874' '6267080333' 'MAP'

'I124' '20161228' 'A' 'P' 'INSURANCE ADMIN OF AMERICA ' 'ATTN: MEDICAID/MEDICAL CLAIMS ' 'PO BOX 5082 ' 'MOUNT LAUREL ' 'NJ' '80545082' '8009896739' 'TPM'

'I126' '20240916' 'A' 'F' 'INNOVAGE CALIFORNIA PACE ' ' ' 'PO BOX 21931 ' 'EAGAN ' 'MN' '551210931' '7203827015' 'MAP'

'I183' '20190722' 'A' 'P' 'AMERIBEN IEC GROUP ' 'ATTN HEALTH CLAIMS ' 'PO BOX 7186 ' 'BOISE ' 'ID' '837071186' '2083447910' 'PPO'

'I187' '20180917' 'A' 'F' 'IMPERIAL HEALTH PLAN OF CA ' ' ' '600 S LAKE AVE STE 308 ' 'PASADENA ' 'CA' '911063955' '5622395675' 'MAP'

'I224' '20200318' 'A' 'P' 'SELECT HEALTH ' ' ' 'PO BOX 30192 ' 'SALT LAKE CITY ' 'UT' '841300192' '8015338282' 'HMO'

'I225' '20211007' 'A' 'P' 'INDEPENDENT HEALTH ' 'ATTN MARY LOU BRADLEY ' '511 FARBER LAKES DR ' 'BUFFALO ' 'NY' '142215779' '8002471466' 'PPO'

'I228' '20211007' 'A' 'P' 'INTERACTIVE MEDICAL SYST ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1349 ' 'WAKE FOREST ' 'NC' '275881349' '8004268739' 'PPO'

'I234' '20200318' 'A' 'P' 'IPM HEALTH AND WELFARE TRUST ' ' ATTN HEALTH CLAIMS ' '1168 E LA CADENA DR ' 'RIVERSIDE ' 'CA' '925078617' '9516841791' 'PPO'

'I238' '20230808' 'A' 'F' 'INNOVAGE CA PACE SACRAMENTO ' ' ' 'PO BOX 21931 ' 'EAGAN ' 'MN' '551210931' '8555427622' 'MAP'

'I259' '20200213' 'A' 'F' 'INTERVALLEY HEALTH PLAN ' ' ' '300 S PARK AVE ' 'POMONA ' 'CA' '917661501' '8889491680' 'MAP'

'I470' '20150924' 'A' 'D' 'TEAMSTAR MEDICARE PART D ' ' ' 'PO BOX 29046 ' 'HOT SPRINGS NATIONAL' 'AR' '719039046' '8664127445' 'PDP'

'I607' '20230808' 'A' 'F' 'INNOVAGE CA PACE ' ' ' 'PO BOX 21931 ' 'EAGAN ' 'MN' '551210931' '8665359350' 'MAP'

'J002' '20230526' 'A' 'F' 'JOHNS HOPKINS ADVANTAGE MD ' ' ' 'PO BOX 4227 ' 'SCRANTON ' 'PA' '185056227' '8772934998' 'MAP'

'J047' '20211007' 'A' 'P' 'SHASTA ADMIN SERVICE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1747 ' 'REDMOND ' 'OR' '977564001' '8004414518' 'PPO'

'J063' '20190417' 'A' 'P' 'JOINT BENEFIT TRUST ' 'ATTN HEALTH CLAIMS ' '4160 DUBLIN BLVD STE 410 ' 'DUBLIN ' 'CA' '945687723' '8005284357' 'PPO'

'J064' '20151006' 'A' 'L' 'JOINT BENEFIT TRUST DENTAL ' 'ATTN DENTAL CLAIMS ' '4160 DUBLIN BLVD STE 400 ' 'DUBLIN ' 'CA' '945687756' '8005284357' 'PPO'

'J123' '20211007' 'A' 'P' 'SOUTHWEST SERVICES ADMIN ' 'ATTN HEALTH CLAIMS ' '5251 S GREEN ST STE 200 ' 'MURRAY ' 'UT' '841232995' '8003453248' 'PPO'

'J162' '20211020' 'A' 'P' 'J.P. FARLEY CORPORATION ' 'ATTN HEALTH CLAIMS ' 'PO BOX 458022 ' 'WESTLAKE ' 'OH' '441458022' '8006340173' 'PPO'

'K002' '20161010' 'A' 'P' 'KERN LEGACY ' ' ' '1115 TRUXTUN AVE FL 1ST ' 'BAKERSFIELD ' 'CA' '933014629' '6618683280' 'PPO'

'K005' '20220302' 'A' 'F' 'KELSEYCARE ADVANTAGE RX ' ' ' 'PO BOX 84156 ' 'PEARLAND ' 'TX' '775840018' '8006334227' 'MAP'

'K006' '20220330' 'A' 'F' 'KAISER SENIOR ADVANTAGE (HI) ' ' ' 'PO BOX 371860 ' 'DENVER ' 'CO' '802375860' '8008052739' 'MAP'

'K007' '20220602' 'A' 'F' 'KEYSTONE 65 FOCUS ' ' ' 'PO BOX 7799 ' 'PHILADELPHIA ' 'PA' '191017799' '8006453965' 'MAP'

'K062' '20220203' 'A' 'P' 'KEENAN AND ASSOCIATES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2707 ' 'TORRANCE ' 'CA' '905092707' '8006533626' 'PPO'

'K067' '20160330' 'A' 'P' 'KEY BENEFITS ADMIN ' 'ATTN HEALTH CLAIMS ' '8330 ALLISON POINTE TRL ' 'INDIANAPOLIS ' 'IN' '462501682' '8003314757' 'PPO'

'K100' '20250415' 'A' 'D' 'KAISER PERMANENTE MEDICARE ' 'PART D ' '393 E WALNUT ST ' 'PASADENA ' 'CA' '911880001' '8004430815' 'PDP'

'K101' '20190801' 'A' 'P' 'KAISER PERMANENTE INSURANCE CO' ' ' 'PO BOX 261155 ' 'PLANO ' 'TX' '750261155' '8007880710' 'PPO'

'K113' '20211020' 'A' 'P' 'KEMPTON GROUP ADMIN INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 54889 ' 'OKLAHOMA CITY ' 'OK' '731541889' '8003249396' 'PPO'

'K129' '20151013' 'A' 'L' 'KCL GROUP DENTAL ' ' ' 'PO BOX 9040 ' 'AUSTIN ' 'TX' '787669040' '8008745254' 'PPO'

'K155' '20250807' 'A' 'F' 'KP DUAL COMPLETE NP2 HMO DSNP ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K156' '20250807' 'A' 'F' 'KP DUAL COMPLETE NP4 HMO DSNP ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K157' '20250807' 'A' 'F' 'KP DUAL COMPLETE SP1 HMO DSNP ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K158' '20250807' 'A' 'F' 'KP DUAL COMPLETE SP5 HMO DSNP ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K159' '20250729' 'A' 'F' 'KP SR ADV ALAM SF NAPA HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K160' '20250729' 'A' 'F' 'KP SR ADV BASIC ALAMEDA HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K161' '20250729' 'A' 'F' 'KP SR ADV BASIC FRESNO HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K162' '20250729' 'A' 'F' 'KP SR ADV BASIC KERN HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K163' '20250729' 'A' 'F' 'KP SR ADV BASIC MARIN HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K164' '20250729' 'A' 'F' 'KP SR ADV BASIC SAN MATEO HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K165' '20250729' 'A' 'F' 'KP SR ADV BASIC SF HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K166' '20250729' 'A' 'F' 'KP SR ADV BASIC SNJOAQ HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K167' '20250729' 'A' 'F' 'KP SR ADV BASIC SOLANO HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K168' '20250729' 'A' 'F' 'KP SR ADV BASIC STANIS HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K169' '20250729' 'A' 'F' 'KP SR ADV ENHANCED FRESNO HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K170' '20250729' 'A' 'F' 'KP SR ADV ENHANCED KERN HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K171' '20250729' 'A' 'F' 'KP SR ADV ENHANCED SNJOAQ HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K172' '20250729' 'A' 'F' 'KP SR ADV ENHANCED SOLANO HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K173' '20250729' 'A' 'F' 'KP SR ADV ENHANCED STANIS HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K174' '20250729' 'A' 'F' 'KP SR ADV INLAND EMPIRE HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K175' '20250729' 'A' 'F' 'KP SR ADV LA ORANGE CO HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K176' '20250729' 'A' 'F' 'KP SR ADV SAN DIEGO HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K177' '20250729' 'A' 'F' 'KP SR ADV SAN DIEGO VALUE HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K178' '20250729' 'A' 'F' 'KP SR ADV SANTA CRUZ HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K179' '20250729' 'A' 'F' 'KP SR ADV VENTURA HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K180' '20250729' 'A' 'F' 'KP SR ADV VENTURA VAL HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K181' '20250729' 'A' 'F' 'KP SR ADV BASIC CCC HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K182' '20250729' 'A' 'F' 'KP SR ADV BASIC SANTA CL HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K183' '20250729' 'A' 'F' 'KP SR ADV ENHANCED CCC HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K184' '20250729' 'A' 'F' 'KP SR ADV ENH MARIN SM HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K185' '20250729' 'A' 'F' 'KP SR ADV ENH SAC SONOMA HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K186' '20250729' 'A' 'F' 'KP SR ADV ENH SANTA CLARA HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K187' '20250729' 'A' 'F' 'KP SR ADV BASIC SAC SON HMO ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K188' '20250729' 'A' 'F' 'KP SR ADV INLAND EMP VAL HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K189' '20250729' 'A' 'F' 'KP SR ADV LA ORANGE VAL HMO ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8004430815' 'MAP'

'K301' '20240207' 'A' 'F' 'KAISER FOUNDATION HP INC ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K302' '20240207' 'A' 'F' 'KAISER FOUNDATION HP INC ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8004430815' 'MAP'

'K895' '20220225' 'A' 'F' 'KAISER SENIOR ADVANTAGE ' ' ' 'PO BOX 371860 ' 'DENVER ' 'CO' '802375860' '8002324404' 'MAP'

'K896' '20230830' 'A' 'F' 'KAISER PERMANENTE MEDICARE ' ' ' 'PO BOX 371860 ' 'DENVER ' 'CO' '802375860' '8887775536' 'MAP'

'K897' '20220120' 'A' 'F' 'KAISER PERMANENTE MEDICARE ' ' ' 'PO BOX 378021 ' 'DENVER ' 'CO' '802378021' '2066304600' 'MAP'

'K898' '20190417' 'A' 'K' 'KAISER NORCAL - SELF-FUNDED ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8003903510' 'HMO'

'K899' '20190417' 'A' 'K' 'KAISER SOCAL - SELF-FUNDED ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8003903510' 'HMO'

'K990' '20181221' 'A' 'K' 'KAISER NORCAL - COMMERCIAL RX ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '8003903510' 'HMO'

'K992' '20181221' 'A' 'K' 'KAISER SOCAL - COMMERCIAL RX ' ' ' 'PO BOX 7004 ' 'DOWNEY ' 'CA' '902428004' '8003903510' 'HMO'

'K994' '20151014' 'A' 'F' 'KAISER SENIOR ADVANTAGE ' ' ' 'PO BOX 370050 ' 'DENVER ' 'CO' '802370050' '8772218221' 'MAP'

'K995' '20151014' 'A' 'F' 'KAISER SENIOR ADVANTAGE ' ' ' 'PO BOX 370050 ' 'DENVER ' 'CO' '802370050' '8772218221' 'MAP'

'K999' '20130820' 'A' 'F' 'KAISER SENIOR ADVANTAGE ' ' ' 'PO BOX 24010 ' 'OAKLAND ' 'CA' '946231010' '8004430815' 'MAP'

'L005' '20230830' 'A' 'F' 'LA COAST PACE ' ' ' '1220 E 4TH ST ' 'LONG BEACH ' 'CA' '908021831' '8885304415' 'MAP'

'L006' '20221216' 'A' 'F' 'LEON MEDIDUAL ' ' ' '9600 NW 41ST ST STE 210 ' 'DORAL ' 'FL' '331782306' '3055415366' 'MAP'

'L010' '20180510' 'A' 'P' 'LOMA LINDA UNIVERSITY ' ' ' 'PO BOX 1770 ' 'LOMA LINDA ' 'CA' '923540570' '9096514010' 'PPO'

'L045' '20191119' 'A' 'P' '90 DEGREE BENEFITS ' ' ' '450 RIVERCHASE PKWY E ' 'HOOVER ' 'AL' '352442858' '8337488876' 'PPO'

'L068' '20211020' 'A' 'P' 'LABORERS METROPOLITAN HEALTH ' 'ATTN HEALTH CLAIMS ' '6525 CENTURION DR ' 'LANSING ' 'MI' '489179275' '8002280048' 'PPO'

'L102' '20200326' 'A' 'P' 'LABORERS HWTF OF SOUTHERN CA ' 'ATTN HEALTH CLAIMS ' '4399 SANTA ANITA AVE ' 'EL MONTE ' 'CA' '917311648' '8008875679' 'PPO'

'L103' '20230505' 'A' 'F' 'LONGEVITY HEALTH PLAN ' ' ' 'PO BOX 16102 ' 'LUBBOCK ' 'TX' '794906102' '8888998490' 'MAP'

'L105' '20151016' 'A' 'P' 'LOCAL 804 HEALTH WELFARE TRUST' 'FUND ATTN HEALTH CLAIMS ' '3421 REVIEW AVE ' 'LONG ISLAND CITY ' 'NY' '111013241' '7187865410' 'PPO'

'L109' '20211227' 'A' 'P' 'NECA/IBEW FAMILY CARE PLAN ' 'ATTN HEALTH CLAIMS ' '1649 W ADAMS ST FL 3 ' 'CHICAGO ' 'IL' '606123280' '3128290850' 'PPO'

'L116' '20210415' 'A' 'L' 'LINCOLN FINANCIAL GROUP ' ' ' 'PO BOX 3464 ' 'OMAHA ' 'NE' '681030464' '8004232765' 'PPO'

'L117' '20240110' 'A' 'L' 'LINCOLN DENTAL HMO ' ' ' 'PO BOX 30567 ' 'SALT LAKE CITY ' 'UT' '841300567' '8004232765' 'HMO'

'L147' '20211020' 'A' 'P' 'LOOMIS COMPANY ' 'ATTN HEALTH CLAIMS ' 'PO BOX 7011 ' 'WYOMISSING ' 'PA' '196106011' '6103744040' 'PPO'

'L155' '20151021' 'A' 'P' 'PRUDENT BUYER PLAN LOC 1014 ' ' ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8006601014' 'PPO'

'L157' '20190417' 'A' 'P' 'LABORERS HWTF OF NORTHERN CA ' 'ATTN BLUE CROSS HEALTH CLAIMS ' 'PO BOX 60007 ' 'LOS ANGELES ' 'CA' '900600007' '8002444530' 'PPO'

'L158' '20241223' 'A' 'F' 'LOMA LINDA UNI HLTH PACE ' ' ' '1790 W PARK AVE STE 100 ' 'REDLANDS ' 'CA' '923733116' '9096514177' 'MAP'

'L160' '20210607' 'A' 'P' 'LOCAL 1199 BENEFIT FUND ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1007 ' 'NEW YORK ' 'NY' '101081007' '6464739200' 'PPO'

'L192' '20230728' 'A' 'F' 'LASSO HEALTHCARE ' ' ' '225 W WASHINGTON ST STE 450 ' 'CHICAGO ' 'IL' '606063520' '8339252776' 'MAP'

'L200' '20191114' 'A' 'P' 'LUCENT HEALTH ' ' ' '424 CHURCH ST STE 2300 ' 'NASHVILLE ' 'TN' '372192307' '8558870855' 'PPO'

'L208' '20211020' 'A' 'P' 'INTEGRITY ADMINISTRATORS INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 13128 ' 'SACRAMENTO ' 'CA' '958133128' '9169213388' 'PPO'

'L220' '20160913' 'A' 'L' 'LIBERTY DENTAL PLAN OF CALIF ' ' ' 'PO BOX 26110 ' 'SANTA ANA ' 'CA' '927996110' '9492230007' 'PPO'

'L223' '20151019' 'A' 'F' 'L.A. CARE HEALTH PLAN ' ' ' 'PO BOX 811580 ' 'LOS ANGELES ' 'CA' '900810010' '8884522273' 'MAP'

'L224' '20211020' 'A' 'P' 'LIFEWISE HEALTH PLAN ' ' ' 'PO BOX 21552 ' 'EAGAN ' 'MN' '551210552' '8005926804' 'PPO'

'L262' '20250228' 'A' 'F' 'LA CARE MEDICARE PLUS ' ' ' 'PO BOX 401086 ' 'LAS VEGAS ' 'NV' '891401086' '8883527924' 'MAP'

'L351' '20250730' 'A' 'F' 'LA CARE MEDICARE PLU HMO DSNP ' ' ' '1200 W 7TH ST ' 'LOS ANGELES ' 'CA' '900172349' '8883527924' 'MAP'

'L352' '20250806' 'A' 'F' 'LOMA LINDA UNI HEALTH PACE ' ' ' '101 E REDLANDS BLVD # 1500 ' 'SAN BERNARDINO ' 'CA' '924083710' '9096514177' 'MAP'

'L353' '20250806' 'A' 'F' 'LOMA LINDA UNI HEALTH PACE ' ' ' '101 E REDLANDS BLVD # 1500 ' 'SAN BERNARDINO ' 'CA' '924083710' '9096514177' 'MAP'

'L560' '20211118' 'A' 'P' 'LIBERTY UNION LIFE ASSURANCE ' ' ' '560 KIRTS BLVD STE 125 ' 'TROY ' 'MI' '480844133' '8004820945' 'PPO'

'L712' '20210430' 'A' 'P' 'LA CARE HEALTH PLAN HMO ' ' ' 'PO BOX 712129 ' 'LOS ANGELES ' 'CA' '900717129' '8552702327' 'HMO'

'M002' '20230831' 'A' 'F' 'MMM HEALTHCARE INC. ' 'CLAIM DEPARTMENT ' 'PO BOX 72010 ' 'SAN JUAN ' 'PR' '9367710' '8443363331' 'MAP'

'M008' '20220610' 'A' 'F' 'MEDIGOLD CLASSIC PREFERRED ' ' ' '6150 E BROAD ST STE EE320 ' 'COLUMBUS ' 'OH' '432131574' '8002403851' 'MAP'

'M013' '20170510' 'A' 'P' 'MOLINA HEALTHCARE OF CA INC ' ' ' 'PO BOX 22702 ' 'LONG BEACH ' 'CA' '908015702' '8886654621' 'HMO'

'M014' '20220225' 'A' 'F' 'MEDICARE PLUS BLUE ' ' ' 'PO BOX 33842 ' 'DETROIT ' 'MI' '482325842' '8772412583' 'MAP'

'M016' '20220914' 'A' 'F' 'MCS CLASSICARE PLATINO SOLIDO ' ' ' 'PO BOX 191720 ' 'SAN JUAN ' 'PR' '9191720' '7876202530' 'MAP'

'M022' '20211227' 'A' 'P' 'HAWAII MAINLAND ADMINISTRATORS' ' ' '345 N RIVERVIEW ST STE E600 ' 'WICHITA ' 'KS' '672034200' '3166166160' 'PPO'

'M025' '20220914' 'A' 'F' 'MEDICA ACCESSABILITY SOLUTION ' ' ' 'PO BOX 30990 ' 'SALT LAKE CITY ' 'UT' '841300990' '8883473630' 'MAP'

'M026' '20220914' 'A' 'F' 'MEDICA DUAL SOLUTION ' ' ' 'PO BOX 30990 ' 'MINNEAPOLIS ' 'MN' '55440' '8883473630' 'MAP'

'M028' '20220914' 'A' 'F' 'MEDICA HEALTHCARE PLANS MEDIC ' ' ' 'PO BOX 30770 ' 'SALT LAKE CITY ' 'UT' '841300770' '8005070544' 'MAP'

'M029' '20220914' 'A' 'F' 'MMM RELAX PLATINO ' ' ' 'PO BOX 71114 ' 'SAN JUAN ' 'PR' '9368014' '7876202396' 'MAP'

'M030' '20211020' 'A' 'P' 'MEDICAL BENEFIT MUTUAL ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1129 ' 'NEWARK ' 'OH' '430581129' '8006868425' 'PPO'

'M032' '20220914' 'A' 'F' 'MOLINA MEDICARE COMPLETE CARE ' ' ' '7050 S UNION PARK CTR STE 200 ' 'MIDVALE ' 'UT' '840474171' '8442394914' 'MAP'

'M033' '20220914' 'A' 'F' 'MOLINA MEDICARE COMPLETE CARE ' ' ' '5055 E WASHINGTON ST STE 210 ' 'PHOENIX ' 'AZ' '850342036' '8006651029' 'MAP'

'M034' '20220914' 'A' 'F' 'MOLINA MEDICARE COMPLETE CARE ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8007725327' 'MAP'

'M035' '20220914' 'A' 'F' 'MOLINA MEDICARE COMPLETE CARE ' ' ' '5055 E WASHINGTON ST STE 210 ' 'PHOENIX ' 'AZ' '850342036' '8004245891' 'MAP'

'M036' '20160301' 'A' 'P' 'MIDWEST NATIONAL LIFE INS CO ' 'ATTN HEALTH CLAIMS ' 'PO BOX 981606 ' 'EL PASO ' 'TX' '799981606' '8887570703' 'PPO'

'M038' '20221208' 'A' 'F' 'MEDICA ADVANTAGE SOLUTION ' ' ' 'PO BOX 30990 ' 'SALT LAKE CITY ' 'UT' '841300990' '8004585512' 'MAP'

'M039' '20221208' 'A' 'F' 'MEDICARE PPO BLUE PLUSRX ' ' ' 'PO BOX 371314 ' 'PITTSBURGH ' 'PA' '152507314' '8002004255' 'MAP'

'M040' '20200318' 'A' 'P' 'MEDICAL MUTUAL OF OHIO ' 'ATTN OUT OF STATE CLAIMS ' 'PO BOX 6018 ' 'CLEVELAND ' 'OH' '441011018' '8003621279' 'PPO'

'M043' '20210907' 'A' 'P' 'PREMERA BLUE CROSS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 91059 ' 'SEATTLE ' 'WA' '981119159' '4259184000' 'PPO'

'M044' '20221208' 'A' 'F' 'MEDIGOLD ESSENTIAL CARE ' ' ' '1299 N ORCHARD ST ' 'BOISE ' 'ID' '837062265' '8002403851' 'MAP'

'M045' '20221208' 'A' 'F' 'MEDMUTUAL ADVANTAGE CLASSIC ' ' ' '2060 E 9TH ST ' 'CLEVELAND ' 'OH' '441151313' '8009823117' 'MAP'

'M046' '20221208' 'A' 'F' 'MERIDIAN COMPLETE ' ' ' '777 WOODWARD AVE STE 700 ' 'DETROIT ' 'MI' '482263589' '8553234578' 'MAP'

'M049' '20230712' 'A' 'F' 'MERIDIANCOMPLETE ' ' ' 'PO BOX 3060 ' 'FARMINGTON ' 'MO' '636403822' '8555801689' 'MAP'

'M050' '20210806' 'A' 'P' 'MODA HEALTH ' ' ' 'PO BOX 40384 ' 'PORTLAND ' 'OR' '972400384' '5032433962' 'PPO'

'M052' '20221208' 'A' 'F' 'MOLINA DUAL OPTIONS ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8557355831' 'MAP'

'M053' '20221208' 'A' 'F' 'MOLINA DUAL OPTIONS ' ' ' 'PO BOX 22811 ' 'LONG BEACH ' 'CA' '908015811' '8774862048' 'MAP'

'M054' '20221208' 'A' 'F' 'MOLINA MEDICARE CHOICE CARE S ' ' ' '400 TIJERAS AVE NW STE 200 ' 'ALBUQUERQUE ' 'NM' '871023252' '8664400127' 'MAP'

'M055' '20221208' 'A' 'F' 'MOLINA MEDICARE COMPLETE CARE ' ' ' '100 W BIG BEAVER RD STE 600 ' 'TROY ' 'MI' '480845209' '8004244495' 'MAP'

'M057' '20221208' 'A' 'F' 'MOLINA MEDICARE COMPLETE CARE ' ' ' 'PO BOX 93152 ' 'LONG BEACH ' 'CA' '908093152' '8004245891' 'MAP'

'M059' '20221208' 'A' 'F' 'MVP MEDICARE WELLSELECT WITH ' ' ' '625 STATE ST ' 'SCHENECTADY ' 'NY' '123052111' '8008255687' 'MAP'

'M061' '20221216' 'A' 'F' 'MCLAREN MEDICARE INSPIRE DUAL ' ' ' 'PO BOX 1511 ' 'FLINT ' 'MI' '485011511' '3178227402' 'MAP'

'M063' '20221216' 'A' 'F' 'MEDICA PRIME SOLUTION STANDAR ' ' ' 'PO BOX 9310 ' 'MINNEAPOLIS ' 'MN' '554409310' '9529922300' 'MAP'

'M064' '20211020' 'A' 'P' 'MONTEREY CULINARY INS/PENSION ' 'FUND ATTN HEALTH CLAIMS ' '711 N COMMONS DR ' 'AURORA ' 'IL' '605044197' '8554834373' 'PPO'

'M065' '20221216' 'A' 'F' 'MOLINA DUAL OPTIONS ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8556654627' 'MAP'

'M066' '20230526' 'A' 'F' 'MOLINA DUAL OPTIONS ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8779018181' 'MAP'

'M068' '20221216' 'A' 'F' 'MOLINA DUAL OPTIONS MYCARE OH ' ' ' 'PO BOX 349020 ' 'COLUMBUS ' 'OH' '432349020' '8556654623' 'MAP'

'M071' '20221216' 'A' 'F' 'MOLINA MEDICARE CHOICE CARE ' ' ' 'PO BOX 22612 ' 'LONG BEACH ' 'CA' '908015612' '8664400012' 'MAP'

'M072' '20221223' 'A' 'F' 'MARTINS POINT GENERATIONS ADV ' ' ' 'PO BOX 11410 ' 'PORTLAND ' 'ME' '41047410' '8665447504' 'MAP'

'M073' '20221223' 'A' 'F' 'METROPLUS PLATINUM PLAN ' ' ' 'PO BOX 830480 ' 'BIRMINGHAM ' 'AL' '352830480' '8669860356' 'MAP'

'M074' '20221223' 'A' 'F' 'MODA HEALTH PPO ' ' ' 'PO BOX 40384 ' 'PORTLAND ' 'OR' '972400384' '5032654762' 'MAP'

'M075' '20211020' 'A' 'P' 'MEDIEXEL HEALTH PLAN ' ' ' '750 MEDICAL CENTER CT STE 2 ' 'CHULA VISTA ' 'CA' '919116634' '6194211659' 'HMO'

'M077' '20230712' 'A' 'F' 'MOLINA DUAL OPTIONS ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8557355604' 'MAP'

'M078' '20221223' 'A' 'F' 'MOLINA MEDICARE COMPLETE CARE ' ' ' 'PO BOX 22664 ' 'LONG BEACH ' 'CA' '908015664' '8445263195' 'MAP'

'M080' '20241223' 'A' 'F' 'MYPLACE HEALTH ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '2138008884' 'MAP'

'M081' '20250724' 'A' 'P' 'MERCHANTS BENEFIT ' 'ADMINISTRATION ' 'PO BOX 57340 ' 'MURRAY ' 'UT' '841570340' '8008773727' 'TPM'

'M101' '20230322' 'A' 'F' 'MOLINA MEDICARE COMPLETE CARE ' ' ' 'PO BOX 93152 ' 'LONG BEACH ' 'CA' '908093152' '8004245891' 'MAP'

'M105' '20211020' 'A' 'P' 'MANAGED CARE ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' '802 E WINCHESTER ST STE 250 ' 'SALT LAKE CITY ' 'UT' '841077624' '8003505922' 'PPO'

'M106' '20210614' 'A' 'Q' 'MEDIMPACT ' 'ATTN PRESCRIPTION CLAIMS ' '10181 SCRIPPS GATEWAY CT ' 'SAN DIEGO ' 'CA' '921315152' '8007882949' 'HMO'

'M107' '20180726' 'A' 'W' 'MANHATTAN LIFE ASSURANCE ' 'COMPANY OF AMERICA ' 'PO BOX 925309 ' 'HOUSTON ' 'TX' '772925309' '8006699030' 'PPO'

'M108' '20200925' 'A' 'P' 'MEDIEXCEL ' ' ' '750 MEDICAL CENTER CT STE 2 ' 'CHULA VISTA ' 'CA' '919116634' '8556334392' 'HMO'

'M109' '20211118' 'A' 'P' 'MED-PAY ' ' ' 'PO BOX 10909 ' 'SPRINGFIELD ' 'MO' '658080909' '8007779087' 'PPO'

'M110' '20230505' 'A' 'F' 'MEDICARE BLUE CHOICE ACCESS ' ' ' 'PO BOX 21146 ' 'EAGAN ' 'MN' '551210146' '8778839577' 'MAP'

'M123' '20150218' 'A' 'D' 'MEDICARE FIRST BC/BS ' 'ATTN: CLIENT SERVICES (ARGUS) ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '8005227847' 'PDP'

'M125' '20250806' 'A' 'F' 'MOLINA MEDICARE CHOICE CARE ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8006650898' 'MAP'

'M127' '20250730' 'A' 'F' 'MOLINA MEDI CMPLTCARE DSNP ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8006650898' 'MAP'

'M128' '20250730' 'A' 'F' 'MOLINA MEDI CMPLTCARE DSNP ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8006650898' 'MAP'

'M130' '20250730' 'A' 'F' 'MOLINA MEDI CMPLTCARE P DSNP ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8556654627' 'MAP'

'M131' '20211020' 'A' 'P' 'MVP HEALTH PLAN ' ' ' 'PO BOX 2207 ' 'SCHENECTADY ' 'NY' '123012207' '5183704793' 'HMO'

'M140' '20211025' 'A' 'P' 'MBA BENEFITS ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 57340 ' 'MURRAY ' 'UT' '841570340' '8012683334' 'PPO'

'M142' '20240207' 'A' 'F' 'MOLINA HEALTHCARE OF CA ' ' ' '200 OCEANGATE STE 100 ' 'LONG BEACH ' 'CA' '908024317' '8006650898' 'MAP'

'M143' '20211020' 'A' 'P' 'AUXIANT ' 'ATTN HEALTH CLAIMS ' 'PO BOX 259710 ' 'MADISON ' 'WI' '537259710' '8002796772' 'PPO'

'M150' '20250801' 'A' 'F' 'MYPLACE GREATER LA PACE INC ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '2138008884' 'MAP'

'M151' '20250801' 'A' 'F' 'MYPLACE GREATER LA PACE INC ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '2138008884' 'MAP'

'M172' '20210514' 'A' 'E' 'METLIFE VISION ' 'ATTN VISION CLAIMS ' 'PO BOX 997565 ' 'SACRAMENTO ' 'CA' '958997565' '8006380166' 'PPO'

'M180' '20211020' 'A' 'P' 'M M & P HEALTH & BENEFIT PLAN ' 'ATTN HEALTH CLAIMS ' '700 MARITIME BLVD STE A ' 'LINTHICUM HEIGHTS ' 'MD' '210901916' '4108508500' 'PPO'

'M198' '20211020' 'A' 'P' 'MEDCOST PERFERRED ' 'ATTN HEALTH CLAIMS ' 'PO BOX 25987 ' 'WINSTON SALEM ' 'NC' '271145987' '8008221274' 'PPO'

'M200' '20250424' 'A' 'P' 'MEDICA HMO ' ' ' 'PO BOX 30990 ' 'SALT LAKE CITY ' 'UT' '841300990' '8002281403' 'HMO'

'M201' '20250402' 'A' 'P' 'MEDICA PPO ' ' ' 'PO BOX 30990 ' 'SALT LAKE CITY ' 'UT' '841300990' '8002281403' 'PPO'

'M278' '20220128' 'A' 'E' 'MES VISION ' 'ATTN VISION CLAIMS ' 'PO BOX 25209 ' 'SANTA ANA ' 'CA' '927995209' '8008776372' 'PPO'

'M281' '20190417' 'A' 'L' 'METLIFE DENTAL ' 'ATTN DENTAL CLAIMS ' 'PO BOX 981282 ' 'EL PASO ' 'TX' '799981282' '8004386388' 'PPO'

'M282' '20250327' 'A' 'L' 'METLIFE DENTAL HMO ' ' ' 'PO BOX 981987 ' 'EL PASO ' 'TX' '799981987' '8008801800' 'HMO'

'M355' '20180726' 'A' 'L' 'MUTUAL OF OMAHA DENTAL ' ' ' 'PO BOX 17100 ' 'INDIANAPOLIS ' 'IN' '462170100' '8779992330' 'PPO'

'M404' '20230728' 'A' 'F' 'MERCY LIFE OF ALABAMA PACE ' ' ' '20555 VICTOR PKWY ' 'LIVONIA ' 'MI' '481527031' '8553676562' 'MAP'

'M407' '20190722' 'A' 'P' 'MEDICAL MUTUAL ' 'ATTN HEALTH CLAIMS ' 'PO BOX 6018 ' 'CLEVELAND ' 'OH' '441011018' '8003621279' 'PPO'

'M425' '20220712' 'A' 'P' 'MAIL HANDLERS BENEFIT PLAN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 981106 ' 'EL PASO ' 'TX' '799981106' '8004107778' 'PPO'

'M428' '20200326' 'A' 'P' 'MUTUAL MEDICAL PLANS INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 60158 ' 'CLEVELAND ' 'OH' '44101' '8004470878' 'PPO'

'M454' '20211020' 'A' 'P' 'PEQUOT PLUS HLTH BENFT SRVCS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 3559 ' 'MASHANTUCKET ' 'CT' '63383559' '8887796872' 'PPO'

'M456' '20210415' 'A' 'L' 'MINNESOTA DENTAL FOUNDATION ' 'ATTN DENTAL CLAIMS ' '1335 INDUSTRIAL BLVD NE STE 100 ' 'MINNEAPOLIS ' 'MN' '554131791' '8008364098' 'PPO'

'M462' '20210806' 'A' 'P' 'MID AMERICAN BENEFITS ' 'ATTN HEALTH CLAIMS ' '5310 N 99TH ST STE 1 ' 'OMAHA ' 'NE' '681341521' '8003649505' 'PPO'

'M464' '20210614' 'A' 'Q' 'ELIXIER ' ' ' '2181 E AURORA RD STE 201 ' 'TWINSBURG ' 'OH' '440871974' '8007714648' 'PPO'

'M468' '20230829' 'A' 'F' 'MERCY CARE ADVANTAGE ' 'ATTN: CLAIMS ' 'PO BOX 982975 ' 'EL PASO ' 'TX' '799989275' '8006243879' 'MAP'

'M475' '20211020' 'A' 'P' 'MEDICA ' ' ' 'PO BOX 30990 ' 'SALT LAKE CITY ' 'UT' '841300990' '8002281403' 'PPO'

'M496' '20230728' 'A' 'F' 'AMERICAN HEALTH ADV MISSOURI ' ' ' '201 JORDAN RD STE 200 ' 'FRANKLIN ' 'TN' '370674495' '8442287934' 'MAP'

'M512' '20151023' 'A' 'F' 'NEW WEST HEALTH SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 668 ' 'KALISPELL ' 'MT' '599030668' '8002903657' 'MAP'

'M520' '20200318' 'A' 'P' 'MYERS STEVENS/CO INC ' 'ATTN HEALTH CLAIMS ' '26101 MARGUERITE PKWY ' 'MISSION VIEJO ' 'CA' '926923203' '8008274695' 'PPO'

'M560' '20190301' 'A' 'P' 'UNITED HEALTH CARE STUDENT ' 'RESOURCES ' 'PO BOX 809025 ' 'DALLAS ' 'TX' '753809025' '8007670700' 'PPO'

'M601' '20230321' 'A' 'F' 'MOLINA HEALTHCARE ' ' ' 'PO BOX 22702 ' 'LONG BEACH ' 'CA' '908015702' '5624353666' 'MAP'

'M700' '20211118' 'A' 'P' 'MUTUAL HEALTH SERVICES ' ' ' 'PO BOX 5700 ' 'CLEVELAND ' 'OH' '441010700' '8003673762' 'PPO'

'M948' '20230728' 'A' 'F' 'MASS GENERAL BRIGHAM ADV ' ' ' '399 REVOLUTION DR STE 850 ' 'SOMERVILLE ' 'MA' '21451636' '8558333668' 'MAP'

'M990' '20151023' 'A' 'A' 'MEDICARE RETRO BILLING ' ' ' 'PO BOX 997422 ' 'SACRAMENTO ' 'CA' '958997422' '8662279863' 'TPP'

'M991' '20151023' 'A' 'A' 'MEDICARE RETRO BILLING ' ' ' 'PO BOX 997422 ' 'SACRAMENTO ' 'CA' '958997422' '8662279863' 'TPP'

'M995' '20151112' 'A' 'P' 'MAGELLAN HLTH -BEHAVIORAL ONLY' ' ' 'PO BOX 710400 ' 'SAN DIEGO ' 'CA' '921710400' '8004241565' 'PPO'

'M996' '20170914' 'A' 'Q' 'MAGELLAN RX ' ' ' '11013 W BROAD ST STE 500 ' 'GLEN ALLEN ' 'VA' '230606017' '8004243312' 'PPO'

'N007' '20190723' 'A' 'P' 'NATIONAL ASSOC OF LETTER CARR ' 'ATTN HEALTH CLAIMS ' '20547 WAVERLY CT ' 'ASHBURN ' 'VA' '201490001' '8886366252' 'PPO'

'N008' '20220914' 'A' 'F' 'NETWORKCARES ' ' ' 'PO BOX 120 ' 'MENASHA ' 'WI' '549520120' '9207201345' 'MAP'

'N009' '20221216' 'A' 'F' 'NEIGHBORHOOD INTEGRITY ' ' ' '910 DOUGLAS PIKE ' 'SMITHFIELD ' 'RI' '29171874' '4014278181' 'MAP'

'N013' '20200318' 'A' 'P' 'NIPPON LIFE INSUR OF AMERICA ' ' ' 'PO BOX 25951 ' 'SHAWNEE MISSION ' 'KS' '662255951' '8009376542' 'PPO'

'N014' '20150811' 'A' 'D' 'NAVITUS MEDICARE RX ' ' ' 'PO BOX 999 ' 'APPLETON ' 'WI' '549120999' '8772703877' 'PDP'

'N017' '20221216' 'A' 'F' 'NEIGHBORHOOD HEALTHCARE PACE ' ' ' '4371 LATHAM ST ' 'RIVERSIDE ' 'CA' '925011706' '8446427223' 'MAP'

'N053' '20210806' 'A' 'P' 'NTL ELEVATOR INDUSTRIAL BNFT ' 'ATTN HEALTH CLAIMS ' '19 CAMPUS BLVD STE 200 ' 'NEWTOWN SQUARE ' 'PA' '190733239' '8005234702' 'PPO'

'N124' '20161228' 'A' 'P' 'NORTHERN CA BAKERY DRIVERS ' 'TRUST FUND ATTN HEALTH CLAIMS' 'PO BOX 421670 ' 'SAN FRANCISCO ' 'CA' '941421670' '5104334400' 'PPO'

'N138' '20210806' 'A' 'P' 'VALLENZ ACCESS ' ' ' 'PO BOX 123819 ' 'DALLAS ' 'TX' '753123819' '8008342312' 'PPO'

'N154' '20190723' 'A' 'P' 'NORTHWEST ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' '2323 EASTLAKE AVE E ' 'SEATTLE ' 'WA' '981023963' '6505707300' 'PPO'

'N162' '20230808' 'A' 'F' 'PACE NORTH EAST MEDICAL SERVIC' ' ' '2171 JUNIPERO SERRA BLVD STE 600 ' 'DALY CITY ' 'CA' '940141990' '5013721922' 'MAP'

'N208' '20151118' 'A' 'L' 'NORTHEAST DELTA DENTAL ' ' ' 'PO BOX 2002 ' 'CONCORD ' 'NH' '33022002' '8008325700' 'PPO'

'N262' '20211020' 'A' 'P' 'HEALTH SERVICES BENEFIT ADMIN ' 'ATTN MEDICAID/MEDI-CAL CLAIMS ' '4160 DUBLIN BLVD STE 400 ' 'DUBLIN ' 'CA' '945687756' '8556907250' 'PPO'

'N273' '20211020' 'A' 'P' 'NEVADA OPERATING ENGINEERS HWF' 'ATTN HEALTH CLAIMS ' 'PO BOX 11337 ' 'RENO ' 'NV' '895101337' '7758267200' 'PPO'

'N286' '20250801' 'A' 'F' 'NEIGHBORHOOD HEALTHCARE PACE ' 'DUAL ' '4371 LATHAM ST ' 'RIVERSIDE ' 'CA' '925011706' '8446427223' 'MAP'

'N287' '20250801' 'A' 'F' 'NEIGHBORHOOD HEALTHCARE PACE ' 'MEDICARE ' '4371 LATHAM ST ' 'RIVERSIDE ' 'CA' '925011706' '8446427223' 'MAP'

'N289' '20250731' 'A' 'F' 'NEMS PACE MEDICARE ONLY PACE ' ' ' '728 PACIFIC AVE FL 2ND ' 'SAN FRANCISCO ' 'CA' '941334449' '4153525050' 'MAP'

'N290' '20250731' 'A' 'F' 'NEMS PACE PACE ' ' ' '728 PACIFIC AVE FL 2ND ' 'SAN FRANCISCO ' 'CA' '941334449' '4153525050' 'MAP'

'N320' '20200326' 'A' 'P' 'NORTH AMERICAN ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 5088 ' 'SIOUX FALLS ' 'SD' '571175088' '8008286922' 'PPO'

'N369' '20151118' 'A' 'D' 'CATAMARAN ' ' ' 'PO BOX 968022 ' 'SCHAUMBURG ' 'IL' '601968022' '3026365401' 'PDP'

'N620' '20230728' 'A' 'F' 'NEXTBLUE OF NORTH DAKOTA ' ' ' 'PO BOX 260038 ' 'PLANO ' 'TX' '750260038' '8447538038' 'MAP'

'O001' '20220330' 'A' 'F' 'OPTIMUM GOLD REWARDS PLAN ' ' ' 'PO BOX 151258 ' 'TAMPA ' 'FL' '336841258' '8662455360' 'MAP'

'O002' '20220914' 'A' 'F' 'OPTIMA COMMUNITY COMPLETE ' ' ' 'PO BOX 5028 ' 'TROY ' 'MI' '480075028' '8009276048' 'MAP'

'O003' '20211020' 'A' 'P' 'OPERATING ENG HWF LOC 302 ' 'ATTN HEALTH CLAIMS ' 'PO BOX 34684 ' 'SEATTLE ' 'WA' '981241684' '8003316158' 'PPO'

'O004' '20221216' 'A' 'F' 'ONECARE CONNECT ' ' ' '505 CITY PKWY W ' 'ORANGE ' 'CA' '928682924' '8007058823' 'MAP'

'O006' '20211020' 'A' 'P' 'OPTIMED ' ' ' '4 TERRY DR STE 1 ' 'NEWTOWN ' 'PA' '189401838' '8004828770' 'PPO'

'O016' '20210614' 'A' 'P' 'OPERATING ENG TRUST FUND ' 'ANTHEM BLUE CROSS ' '100 CORSON ST STE 100 ' 'PASADENA ' 'CA' '911033875' '6263561000' 'PPO'

'O029' '20211020' 'A' 'P' 'OXFORD HEALTH PLANS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 29130 ' 'HOT SPRINGS NATIONAL' 'AR' '719039130' '8004446222' 'PPO'

'O059' '20211020' 'A' 'P' 'OPTIMA HEALTH ' ' ' 'PO BOX 5028 ' 'TROY ' 'MI' '480075028' '7575528850' 'PPO'

'O060' '20240207' 'A' 'F' 'ORANGE CNTY HEALTH AUTHORITY ' ' ' '505 CITY PKWY W ' 'ORANGE ' 'CA' '928682924' '8774122734' 'MAP'

'O101' '20130820' 'A' 'F' 'ON LOK SENIOR HEALTH ' ' ' '1333 BUSH ST ' 'SAN FRANCISCO ' 'CA' '941095611' '4152928888' 'MAP'

'O111' '20250805' 'A' 'F' 'ON LOK PACE DUAL ' ' ' '1333 BUSH ST ' 'SAN FRANCISCO ' 'CA' '941095611' '4152928888' 'MAP'

'O112' '20250805' 'A' 'F' 'ON LOK PACE MEDICARE ' ' ' '1333 BUSH ST ' 'SAN FRANCISCO ' 'CA' '941095611' '4152928888' 'MAP'

'O122' '20210614' 'A' 'Q' 'OPTUM RX ' ' ' 'PO BOX 509075 ' 'SAN DIEGO ' 'CA' '921509075' '8776334701' 'PPO'

'O231' '20200319' 'A' 'P' 'OSCAR PLATINUM EPO ' ' ' 'PO BOX 52146 ' 'PHOENIX ' 'AZ' '850722146' '8556722755' 'HMO'

'O976' '20230728' 'A' 'F' 'OCHSNER HEALTH PLAN ' ' ' '1450 POYDRAS ST STE 110 ' 'NEW ORLEANS ' 'LA' '701120100' '8336742112' 'MAP'

'P003' '20220121' 'A' 'F' 'PACIFICSOURCE MEDICARE ' ' ' 'PO BOX 7469 ' 'BEND ' 'OR' '977087469' '8006334227' 'MAP'

'P004' '20220510' 'A' 'F' 'PRIORITYMEDICAL IDEAL ' ' ' 'PO BOX 232 ' 'GRAND RAPIDS ' 'MI' '495010232' '6164648820' 'MAP'

'P005' '20220510' 'A' 'F' 'PRIORITYMEDICARE VALUE ' ' ' 'PO BOX 232 ' 'GRAND RAPIDS ' 'MI' '495010232' '6164648820' 'MAP'

'P006' '20220610' 'A' 'F' 'PACFICSOURCE MEDICARE EXPLORER' ' ' 'PO BOX 7068 ' 'SPRINGFIELD ' 'OR' '974750068' '5413855315' 'MAP'

'P007' '20220914' 'A' 'F' 'PROVIDENCE MEDICARE DUAL PLUS ' ' ' 'PO BOX 3125 ' 'PORTLAND ' 'OR' '972083125' '5035748000' 'MAP'

'P008' '20221208' 'A' 'F' 'PREMERA BLUE CROSS MEDICARE A ' ' ' 'PO BOX 91059 ' 'SEATTLE ' 'WA' '981119159' '8888508526' 'MAP'

'P009' '20161228' 'A' 'Q' 'PRIME THERAPEUTICS ' 'ATTN PRESCRIPTION CLAIMS ' 'PO BOX 64812 ' 'SAINT PAUL ' 'MN' '551640812' '8008214795' 'PPO'

'P010' '20221208' 'A' 'F' 'PRESBYTERIAN DUAL PLUS ' ' ' 'PO BOX 27489 ' 'ALBUQUERQUE ' 'NM' '871257489' '5059237675' 'MAP'

'P011' '20230526' 'A' 'F' 'PRESBYTERIAN MEDICARE PPO PLA ' ' ' 'PO BOX 27489 ' 'ALBUQUERQUE ' 'NM' '871257489' '5059236060' 'MAP'

'P012' '20221208' 'A' 'F' 'PROMINENCE PLUS ' ' ' 'TEXOMA 305 W.WOODARD ST ' 'RANDALL ' 'TX' '75020' '8559695882' 'MAP'

'P013' '20221216' 'A' 'F' 'PEOPLES HEALTH CHOICES ' ' ' 'PO BOX 7890 ' 'METAIRIE ' 'LA' '700107890' '8002228600' 'MAP'

'P014' '20221223' 'A' 'F' 'PERSONAL CHOICE 65 RX ' ' ' 'PO BOX 7799 ' 'PHILADELPHIA ' 'PA' '191017799' '8887183333' 'MAP'

'P016' '20221223' 'A' 'F' 'PHP CARE COMPLETE FIDA-IDD PL ' ' ' '655 3RD AVE FL 2 ' 'NEW YORK ' 'NY' '100179130' '8557475483' 'MAP'

'P017' '20230104' 'A' 'F' 'PROVIDER PARTNERS MISSOURI ' ' ' '785 ELKRIDGE LANDING RD STE 300 ' 'LINTHICUM HEIGHTS ' 'MD' '210902958' '8004059681' 'MAP'

'P019' '20200319' 'A' 'P' 'PRESBYTERIAN HEALTH PLAN ' ' ' 'PO BOX 27489 ' 'ALBUQUERQUE ' 'NM' '871257489' '5059235757' 'HMO'

'P020' '20230505' 'A' 'F' 'PASSPORT MEDICARE CHOICE CARE ' ' ' '5100 COMMERCE CROSSINGS DR ' 'LOUISVILLE ' 'KY' '402292128' '8448596152' 'MAP'

'P028' '20161228' 'A' 'W' 'PRINCIPAL FINANCIAL GROUP ' ' ' 'PO BOX 10357 ' 'DES MOINES ' 'IA' '503060357' '8002451522' 'PPO'

'P029' '20220121' 'A' 'F' 'PROMINENCE PLUS ' ' ' 'PO BOX 981747 ' 'EL PASO ' 'TX' '799981747' '8559695882' 'MAP'

'P036' '20161228' 'A' 'L' 'PHYSICIANS MUTUAL INS CO ' 'ATTN CLAIMS MANAGER ' 'PO BOX 2018 ' 'OMAHA ' 'NE' '681032018' '8002289100' 'PPO'

'P042' '20211227' 'A' 'P' 'PRUDENTIAL HEALTHCARE ' 'ATTN SBC CLAIMS DEPT ' 'PO BOX 696038 ' 'SAN ANTONIO ' 'TX' '782696038' '8888884601' 'PPO'

'P067' '20211227' 'A' 'P' 'CENCAL HEALTH ' ' ' 'PO BOX 948 ' 'GOLETA ' 'CA' '931160948' '8.00421E+13' 'HMO'

'P084' '20161228' 'A' 'P' 'PIPE TRADES DISTRICT COUNCIL ' 'ATTN HEALTH CLAIMS ' 'PO BOX 7892 ' 'SAN FRANCISCO ' 'CA' '941207892' '4155467800' 'PPO'

'P101' '20211020' 'A' 'P' 'PREFERREDONE HEALTH PLAN ' ' ' 'PO BOX 1527 ' 'MINNEAPOLIS ' 'MN' '554401527' '8009971750' 'PPO'

'P103' '20161228' 'A' 'P' 'PENNSYLVANIA EMP BENEFIT TRUST' 'FUND ATTN HEALTH CLAIMS ' '150 S 43RD ST STE 1 ' 'HARRISBURG ' 'PA' '171115708' '8006280174' 'PPO'

'P124' '20210614' 'A' 'P' 'LOCAL 447 UA PIPE TRADES ' 'TRUST FUND ATTN HEALTH CLAIMS ' '5841 NEWMAN CT ' 'SACRAMENTO ' 'CA' '958192607' '9164570821' 'PPO'

'P132' '20240110' 'A' 'E' 'PINNACLE CLAIMS MANAGEMENT VIS' ' ' 'PO BOX 2220 ' 'NEWPORT BEACH ' 'CA' '926588952' '8006499121' 'PPO'

'P173' '20230130' 'A' 'Q' 'PROVIDENCE RX ' ' ' 'PO BOX 3125 ' 'PORTLAND ' 'OR' '972083125' '8772163644' 'HMO'

'P175' '20211020' 'A' 'P' 'PROVIDENCE HEALTH PLAN ' ' ' 'PO BOX 3125 ' 'PORTLAND ' 'OR' '972083125' '8008784445' 'HMO'

'P187' '20211227' 'A' 'P' 'PHYSICIANS HEALTH PLAN ' ' ' 'PO BOX 853936 ' 'RICHARDSON ' 'TX' '750853936' '8037507400' 'HMO'

'P193' '20150325' 'A' 'L' 'PRIME CARE DENTAL PLAN INC ' 'ATTN DENTAL CLAIMS ' '16444 VANOWEN ST ' 'VAN NUYS ' 'CA' '914064729' '8007766866' 'PPO'

'P197' '20200326' 'A' 'P' 'P5 ELECTRONIC HEALTH SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 9554 ' 'SALT LAKE CITY ' 'UT' '841090554' '8003973685' 'PPO'

'P239' '20220126' 'A' 'L' 'PROFESSIONAL BENEFIT SERV ' 'ATTN DENTAL CLAIMS ' 'PO BOX 2569 ' 'MERCED ' 'CA' '953440569' '2097239136' 'PPO'

'P251' '20220125' 'A' 'P' 'HARVARD/PILGRIM HEALTHCARE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 699183 ' 'QUINCY ' 'MA' '22699183' '8888884742' 'PPO'

'P252' '20210614' 'A' 'P' 'UA LOCAL 393 ' 'ATTN HEALTH CLAIMS ' '493 BEV RD BLDG 3 ' 'BOARDMAN ' 'OH' '445126455' '8004352388' 'PPO'

'P267' '20220125' 'A' 'P' 'PROFESSIONAL CLAIMS MANAGEMENT' 'ATTN HEALTH CLAIMS ' '16W455 S FRONTAGE RD STE 216 ' 'BURR RIDGE ' 'IL' '605277105' '3304937278' 'PPO'

'P283' '20220125' 'A' 'P' 'PRIORITY HEALTH ' 'ATTN HEALTH CLAIMS ' 'PO BOX 232 ' 'GRAND RAPIDS ' 'MI' '495010232' '8009561954' 'PPO'

'P289' '20220125' 'A' 'P' 'PIEDMONT COMMUNITY HEALTH PLAN' 'ATTN HEALTH CLAIMS ' '2316 ATHERHOLT RD ' 'LYNCHBURG ' 'VA' '245012100' '8008527040' 'PPO'

'P291' '20210806' 'A' 'P' 'MULTIPLAN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 21372 ' 'EAGAN ' 'MN' '551210372' '8472926700' 'PPO'

'P295' '20160120' 'A' 'P' 'PLUMBERS/PIPE FITTERS ' 'HEALTH/SECURITY TRUST FUND ' '141 S CENTER ST STE 200 ' 'CASPER ' 'WY' '826012519' '3034264984' 'PPO'

'P305' '20200319' 'A' 'P' 'PACIFICSOURCE HEALTH PLANS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 7068 ' 'SPRINGFIELD ' 'OR' '974750068' '8006246052' 'PPO'

'P331' '20230927' 'A' 'F' 'PROVIDENCE PACE ' ' ' '414 S JEFFERSON ST ' 'NAPA ' 'CA' '945594515' '7072544159' 'MAP'

'P332' '20180803' 'A' 'L' 'PROTECTIVE DENTAL CARE ' ' ' '1702 E HIGHLAND AVE STE 110 ' 'PHOENIX ' 'AZ' '850164695' '6022777432' 'PPO'

'P347' '20130726' 'A' 'F' 'PYRAMID LIFE INSURANCE COMPANY' 'UNIVERSAL AMERICAN CORP. ' 'PO BOX 742568 ' 'HOUSTON ' 'TX' '772742568' '8665688921' 'MAP'

'P405' '20230728' 'A' 'F' 'PRIMA HEALTH SENIORCARE PACE ' ' ' '255 ENTERPRISE BLVD STE 120 ' 'GREENVILLE ' 'SC' '296153530' '8644554566' 'MAP'

'P440' '20160120' 'A' 'F' 'UHC OF CALIFORNIA INC. ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8888668297' 'MAP'

'P443' '20230324' 'A' 'F' 'UHC OF CALIFORNIA INC. ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'P448' '20130726' 'A' 'F' 'UHC OF CALIFORNIA INC. ' ' ' 'PO BOX 489 ' 'CYPRESS ' 'CA' '906300489' '8002282144' 'MAP'

'P465' '20220125' 'A' 'P' 'PARTNERS HEALTH ' ' ' 'PO BOX 16309 ' 'LUBBOCK ' 'TX' '794906309' '8006968151' 'HMO'

'P476' '20160121' 'A' 'F' 'UNITED HEALTHCARE INS CO ' ' ' 'PO BOX 31362 ' 'SALT LAKE CITY ' 'UT' '841310362' '8665798774' 'MAP'

'P481' '20220125' 'A' 'P' 'PIPETRADE HEALTH/WELFARE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 3040 ' 'TERRE HAUTE ' 'IN' '478030040' '8128772581' 'PPO'

'P505' '20160119' 'A' 'F' 'HUMANA ' 'CLAIMS OFFICE ' 'PO BOX 14601 ' 'LEXINGTON ' 'KY' '405124601' '8778091810' 'MAP'

'P517' '20220712' 'A' 'P' 'PLANNED ADMINISTRATORS INC. ' 'ATTN HEALTH CLAIMS ' 'PO BOX 6927 ' 'COLUMBIA ' 'SC' '292606927' '8007684375' 'PPO'

'P535' '20200326' 'A' 'P' 'LIFEWISE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 21552 ' 'EAGAN ' 'MN' '551210552' '8007771502' 'PPO'

'P616' '20230602' 'A' 'F' 'PREMIER BY ULTIMATE ' ' ' 'PO BOX 3340 ' 'SPRING HILL ' 'FL' '346113340' '8886574170' 'MAP'

'P700' '20160121' 'A' 'P' 'PROFESSIONAL BENEFIT ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 4687 ' 'OAK BROOK ' 'IL' '605224687' '8004355694' 'PPO'

'P710' '20220125' 'A' 'P' 'INTERMOUNTAIN HEALTHCARE ' ' ' 'PO BOX 95638 ' 'LAS VEGAS ' 'NV' '891935638' '8009951669' 'HMO'

'P716' '20130726' 'A' 'F' 'PARTNERSHIP HEALTHPLAN OF ' 'CALIFORNIA ' 'PO BOX 1368 ' 'SUISUN CITY ' 'CA' '945854368' '7078634100' 'MAP'

'P726' '20160401' 'A' 'L' 'BOON CHAPMAN ' 'ATTN DENTAL CLAIMS ' 'PO BOX 9201 ' 'AUSTIN ' 'TX' '787669201' '8003423279' 'PPO'

'P729' '20250806' 'A' 'F' 'PHP HMO CSNP ' ' ' 'PO BOX 46160 ' 'LOS ANGELES ' 'CA' '900460160' '8002630067' 'MAP'

'P733' '20250730' 'A' 'F' 'PREMIER CARE HMO ISNP ' ' ' 'PO BOX 40 ' 'GLEN BURNIE ' 'MD' '210600040' '8443053879' 'MAP'

'P738' '20250807' 'A' 'F' 'PROVIDENCE MEDI SYC RX HMO ' ' ' 'PO BOX 5548 ' 'PORTLAND ' 'OR' '972285548' '5035748000' 'MAP'

'P745' '20250731' 'A' 'F' 'PROVIDENCE PACE NAPA DUAL ' ' ' 'PO BOX 4227 ' 'PORTLAND ' 'OR' '972084227' '8003784189' 'MAP'

'P746' '20250731' 'A' 'F' 'PROVIDENCE PACE NAPA MEDICARE ' ' ' 'PO BOX 4227 ' 'PORTLAND ' 'OR' '972084227' '8003784189' 'MAP'

'P801' '20130726' 'A' 'F' 'ALTAMED PACE (SENIOR) EAST LA ' ' ' '5425 POMONA BLVD ' 'LOS ANGELES ' 'CA' '900221716' '3237280411' 'MAP'

'P802' '20130726' 'A' 'F' 'CENTER FOR ELDERS INDEPENDENCE' 'PACE ' '510 17TH ST STE 400 ' 'OAKLAND ' 'CA' '946121570' '5104331150' 'MAP'

'P803' '20230829' 'A' 'F' 'PACE SUTTER SENIORCARE ' '(SIGHT 1) ' 'PO BOX 211188 ' 'EAGAN ' 'MN' '551212588' '8669618521' 'MAP'

'P899' '20240118' 'A' 'L' 'PINNACLE CLAIMS DENTAL ' ' ' 'PO BOX 2220 ' 'NEWPORT BEACH ' 'CA' '926588952' '8006499121' 'PPO'

'Q001' '20150220' 'A' 'D' 'QCC INSURANCE COMPANY ' 'DBA AMERIHEALTH INSURANCE CO ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '2152410390' 'PDP'

'Q065' '20161228' 'A' 'P' 'QUAD MED CLAIMS ' 'ATTN HEALTH CLAIMS ' 'W224N3322 DUPLAINVILLE RD ' 'PEWAUKEE ' 'WI' '530724137' '8009372230' 'PPO'

'Q066' '20100902' 'A' 'D' 'QUALITY RX ' ' ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '8667472700' 'PDP'

'R001' '20220301' 'A' 'F' 'RENOWN PREFERRED PLAN ' ' ' 'PO BOX 981703 ' 'EL PASO ' 'TX' '799981703' '7759823112' 'MAP'

'R002' '20220602' 'A' 'F' 'REGENCE MEDADVANTAGE RX ' ' ' 'PO BOX 3686 ' 'SCRANTON ' 'PA' '185050686' '8005418981' 'MAP'

'R003' '20160121' 'A' 'P' 'ROCKY MOUNTAIN HMO ' ' ' 'PO BOX 10600 ' 'GRAND JUNCTION ' 'CO' '815025600' '8008430719' 'HMO'

'R004' '20221208' 'A' 'F' 'REID HEALTH ALLIANCE ' ' ' '301 S VINE ST ' 'URBANA ' 'IL' '618017402' '8777493253' 'MAP'

'R005' '20221208' 'A' 'F' 'ROCKY MOUNTAIN HEALTH PLANS D ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8334202075' 'MAP'

'R006' '20221223' 'A' 'F' 'REGENCE BLUEADVANTAGE ' ' ' '100 SW MARKET ST ' 'PORTLAND ' 'OR' '972015723' '8555228896' 'MAP'

'R007' '20221223' 'A' 'F' 'REGENCE BLUEADVANTAGE HMO PLU ' ' ' 'PO BOX 1106 ' 'LEWISTON ' 'ID' '835011106' '8555228896' 'MAP'

'R008' '20221223' 'A' 'F' 'REGENCE MEDADVANTAGE RX PRIMA ' ' ' 'PO BOX 1106 ' 'LEWISTON ' 'ID' '835011106' '8005418981' 'MAP'

'R009' '20230712' 'A' 'F' 'REGENCE VALIANCE ' ' ' 'PO BOX 1106 ' 'LEWISTON ' 'ID' '835011106' '8005418981' 'MAP'

'R035' '20221216' 'A' 'F' 'REDWOOD COAST PACE ' ' ' '1910 CALIFORNIA ST ' 'EUREKA ' 'CA' '955012870' '7074439747' 'MAP'

'R036' '20220125' 'A' 'P' 'HEALTHCARE MANAGEMENT ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 85008 ' 'BELLEVUE ' 'WA' '980158508' '8884867927' 'HMO'

'R037' '20220121' 'A' 'F' 'REGENCE MEDADVANTAGE RX ' ' ' 'PO BOX 1827 ' 'MEDFORD ' 'OR' '975010143' '8005418981' 'MAP'

'R071' '20220125' 'A' 'P' 'ASCENSION PERSONALIZED CARE ' ' ' 'PO BOX 1707 ' 'TROY ' 'MI' '480991707' '8005371777' 'PPO'

'R133' '20190417' 'A' 'P' 'ROBERT F KENNEDY MEDICAL PLAN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 47 ' 'KEENE ' 'CA' '935310047' '6618236900' 'PPO'

'R139' '20160217' 'A' 'P' 'REDLANDS COMMUNITY HOSPITAL ' 'ATTN MANAGED CARE ' 'PO BOX 3391 ' 'REDLANDS ' 'CA' '923730742' '9093356462' 'HMO'

'R180' '20210802' 'A' 'Q' 'CIGNA PHARMACY ' 'ATTN PHARMACY CLAIMS ' 'PO BOX 188053 ' 'CHATTANOOGA ' 'TN' '374228053' '8006225579' 'TPP'

'R181' '20150811' 'A' 'D' 'RX BLUE OF LOUISIANA ' ' ' 'PO BOX 650599 ' 'DALLAS ' 'TX' '752650599' '8882232583' 'PDP'

'R192' '20160303' 'A' 'P' 'RISK MGMT SERV GENERAL CONF ' 'ATTN HEALTH CLAIMS ' 'P O BOX 8007 ' 'RIVERSIDE ' 'CA' '925058007' '8889514276' 'PPO'

'R588' '20250731' 'A' 'F' 'REDWOOD COAST PACE DUAL ' ' ' '1910 CALIFORNIA ST ' 'EUREKA ' 'CA' '955012870' '7074439747' 'MAP'

'R589' '20250731' 'A' 'F' 'REDWOOD COAST PACE MEDICARE ' ' ' '1910 CALIFORNIA ST ' 'EUREKA ' 'CA' '955012870' '7074439747' 'MAP'

'S001' '20160120' 'A' 'P' 'PROMINENCE HEALTH PLAN ' ' ' '1510 MEADOW WOOD LN ' 'RENO ' 'NV' '895028503' '7757709311' 'HMO'

'S002' '20220125' 'A' 'P' 'SAVERS MARKETING ' 'ATTN HEALTH CLAIMS ' '8064 N POINT BLVD STE 201 ' 'WINSTON SALEM ' 'NC' '271063116' '8006420483' 'PPO'

'S003' '20151125' 'A' 'F' 'SENIOR DIMENSIONS ' 'CLAIMS ' 'PO BOX 15645 ' 'LAS VEGAS ' 'NV' '891145645' '8006506232' 'MAP'

'S004' '20220914' 'A' 'F' 'SAMARITAN ADVANTAGE SPECIAL N ' ' ' 'PO BOX 1189 ' 'CORVALLIS ' 'OR' '973391189' '8008324580' 'MAP'

'S005' '20140123' 'A' 'F' 'SIMPLY HEALTHCARE PLANS INC. ' ' ' 'PO BOX 21535 ' 'EAGAN ' 'MN' '551210535' '8779150551' 'MAP'

'S008' '20230831' 'A' 'F' 'SENIOR ADVANTAGE MEDICARE MED ' ' ' 'PO BOX 12923 ' 'OAKLAND ' 'CA' '946042923' '3033383800' 'MAP'

'S011' '20161228' 'A' 'E' 'SPECTERA ' 'ATTN VISION CLAIMS ' 'PO BOX 30978 ' 'SALT LAKE CITY ' 'UT' '841300978' '8006383120' 'PPO'

'S012' '20150811' 'A' 'D' 'SECURE ADVANTAGE RX OPTION II' ' ' '52160 NATIONAL RD E ' 'SAINT CLAIRSVILLE ' 'OH' '439509306' '8778477907' 'PDP'

'S013' '20230831' 'A' 'F' 'SELECTHEALTH ADVANTAGE ' ' ' 'PO BOX 30196 ' 'SALT LAKE CITY ' 'UT' '841300196' '8554429940' 'MAP'

'S014' '20220914' 'A' 'F' 'SENIOR WHOLE HEALTH ' ' ' 'PO BOX 383 ' 'LATHAM ' 'NY' '121100383' '8887947268' 'MAP'

'S015' '20221208' 'A' 'F' 'SAINT MARYS ATRIO CHOICE RX ' ' ' '338 JERICHO TPKE ' 'SYOSSET ' 'NY' '117914507' '5416728620' 'MAP'

'S016' '20221208' 'A' 'F' 'SCAN CLASSIC ' ' ' 'PO BOX 22698 ' 'LONG BEACH ' 'CA' '908015698' '8558277226' 'MAP'

'S017' '20221208' 'A' 'F' 'SCAN CLASSIC ' ' ' 'PO BOX 22698 ' 'LONG BEACH ' 'CA' '908015698' '8556507226' 'MAP'

'S018' '20221208' 'A' 'F' 'SELECTHEALTH ADVANTAGE ' ' ' 'PO BOX 30196 ' 'SALT LAKE CITY ' 'UT' '841300196' '8773260289' 'MAP'

'S019' '20221208' 'A' 'F' 'SPIRIT ' ' ' 'PO BOX 8000 ' 'MARSHFIELD ' 'WI' '544498000' '7152219897' 'MAP'

'S020' '20221208' 'A' 'F' 'SUPERIOR HEALTHPLAN STAR ' ' ' 'PO BOX 3003 ' 'FARMINGTON ' 'MO' '636403803' '8668961844' 'MAP'

'S021' '20221216' 'A' 'F' 'SAN DIEGO PACE ' ' ' '1610 PRECISION PARK LN ' 'SAN DIEGO ' 'CA' '921731346' '6192054585' 'MAP'

'S022' '20221216' 'A' 'F' 'SANTA CLARA FAMILY HEALTH PLA ' ' ' 'PO BOX 18880 ' 'SAN JOSE ' 'CA' '951588880' '4083762000' 'MAP'

'S023' '20221216' 'A' 'F' 'SECUREBLUE ' ' ' 'PO BOX 9000 ' 'LONDON ' 'KY' '40742' '6516626013' 'MAP'

'S024' '20230712' 'A' 'F' 'SCAN BALANCE ' ' ' 'PO BOX 22698 ' 'LONG BEACH ' 'CA' '908015698' '8777787226' 'MAP'

'S025' '20230426' 'A' 'F' 'SIMPLY FREEDOM ' ' ' '9250 W FLAGLER ST STE 600 ' 'MIAMI ' 'FL' '331743460' '8775770115' 'MAP'

'S026' '20221223' 'A' 'F' 'SUMMACARE MEDICARE TOPAZ ' ' ' '1200 E MARKET ST STE 400 ' 'AKRON ' 'OH' '443054066' '3309968885' 'MAP'

'S027' '20221223' 'A' 'F' 'SUMMIT HEALTH PREMIER RX ' ' ' 'PO BOX 820070 ' 'PORTLAND ' 'OR' '972821070' '5416632721' 'MAP'

'S028' '20240709' 'A' 'E' 'SEIU LOCAL 1199 FND ' ' ' '498 7TH AVE ' 'NEW YORK ' 'NY' '100186798' '1254199150' 'PPO'

'S037' '20220125' 'A' 'P' 'SUPERIOR ADMINISTRATORS INC ' 'ATTN HEALTH CLAIMS ' '2950 AIRWAY AVE STE A13 ' 'COSTA MESA ' 'CA' '926266005' '7144291700' 'PPO'

'S038' '20161228' 'A' 'Q' 'SAV RX ' 'ATTN PRESCRIPTION CLAIMS ' '225 N PARK AVE ' 'FREMONT ' 'NE' '680254963' '8002283108' 'TPP'

'S049' '20190626' 'A' 'P' 'SANFORD HEALTH PLAN ' ' ' 'PO BOX 91110 ' 'SIOUX FALLS ' 'SD' '571091110' '8776521844' 'HMO'

'S050' '20200319' 'A' 'P' 'SFHP HEALTHY WORKER ' ' ' 'PO BOX 194247 ' 'SAN FRANCISCO ' 'CA' '941194247' '4155477800' 'HMO'

'S054' '20220712' 'A' 'P' 'SIMNSA ' 'ATTN HEALTH CLAIMS ' '2088 OTAY LAKES RD STE 102 ' 'CHULA VISTA ' 'CA' '919131370' '6194074082' 'HMO'

'S060' '20160121' 'A' 'P' 'SOUTHERN CA LOC 831 ' ' ' 'PO BOX 5528 ' 'EL MONTE ' 'CA' '917341528' '8775727005' 'PPO'

'S067' '20220125' 'A' 'P' 'STATE HEALTH BENEFIT PLAN ' 'ATTN HEALTH CLAIMS ' '2 PEACHTREE ST NW ' 'ATLANTA ' 'GA' '303033141' '8006101863' 'PPO'

'S070' '20190626' 'A' 'P' 'SIHO ' ' ' 'PO BOX 1787 ' 'COLUMBUS ' 'IN' '472021787' '8123787070' 'HMO'

'S071' '20180511' 'A' 'P' 'SIERRA HEALTH LIFE INS CO ' 'ATTN HEALTH CLAIMS ' 'PO BOX 15645 ' 'LAS VEGAS ' 'NV' '891145645' '8008882264' 'PPO'

'S072' '20220125' 'A' 'P' 'SETON HEALTH PLAN ' ' ' 'PO BOX 14545 ' 'AUSTIN ' 'TX' '787614545' '5123243350' 'PPO'

'S075' '20190723' 'A' 'P' 'SIERRA HEALTH LIFE INS ' 'ATTN: HEALTH CLAIMS ' 'PO BOX 15645 ' 'LAS VEGAS ' 'NV' '891145645' '8008882264' 'HMO'

'S079' '20160121' 'A' 'P' 'S/S HEALTHCARE STRATEGIES ' 'ATTN HEALTH CLAIMS ' '1385 KEMPER MEADOW DR ' 'CINCINNATI ' 'OH' '452401635' '8007172872' 'PPO'

'S080' '20160120' 'A' 'P' 'SAINT MARY''S HEALTH FIRST ' 'ATTN HEALTH CLAIMS ' '1510 MEADOW WOOD LN ' 'RENO ' 'NV' '895028503' '8004333077' 'PPO'

'S117' '20210625' 'A' 'P' 'COLORADO HEALTH NETWORK ' ' ' '6260 E COLFAX AVE ' 'DENVER ' 'CO' '802201515' '3038370166' 'PPO'

'S119' '20161228' 'A' 'E' 'SUPERIOR VISION SERVICES ' 'ATTN VISION CLAIMS ' 'PO BOX 967 ' 'RANCHO CORDOVA ' 'CA' '957410967' '8005073800' 'PPO'

'S120' '20160120' 'A' 'P' 'SIEBA LTD ' 'ATTN HEALTH CLAIMS ' 'PO BOX 5000 ' 'ENDICOTT ' 'NY' '137615000' '6077863003' 'PPO'

'S121' '20210922' 'A' 'P' 'SBMA ' ' ' 'PO BOX 2369 ' 'MONTCLAIR ' 'CA' '917630869' '8885057724' 'PPO'

'S138' '20250807' 'A' 'F' 'SAN DIEGO PACE DUALS PACE ' ' ' '1601 PRECISION PARK LN ' 'SAN DIEGO ' 'CA' '921731345' '6192054585' 'MAP'

'S139' '20250807' 'A' 'F' 'SAN DIEGO PACE MEDICARE ' ' ' '1601 PRECISION PARK LN ' 'SAN DIEGO ' 'CA' '921731345' '6192054585' 'MAP'

'S146' '20240207' 'A' 'F' 'SCAN HEALTH PLAN ' ' ' 'PO BOX 22616 ' 'LONG BEACH ' 'CA' '908015616' '8005593500' 'MAP'

'S149' '20240521' 'A' 'F' 'SHARP HEALTH PLAN ' ' ' '8520 TECH WAY STE 201 ' 'SAN DIEGO ' 'CA' '921231450' '8555628853' 'MAP'

'S150' '20250804' 'A' 'F' 'SCAN AFFIRM LGBTQ HEALTH HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S151' '20250804' 'A' 'F' 'SCAN AFFIRM LGBTQ HEALTH HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S152' '20250804' 'A' 'F' 'SCAN AFFIRM LGBTQ HEALTH HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S159' '20210614' 'A' 'Q' 'SCRIPT CARE LTD ' 'ATTN PRESCRIPTION CLAIMS ' '6380 FOLSOM DR ' 'BEAUMONT ' 'TX' '777067265' '4098323041' 'TPP'

'S164' '20250804' 'A' 'F' 'SCAN ALLIED HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S165' '20250805' 'A' 'F' 'SCAN ALLIED HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S166' '20250805' 'A' 'F' 'SCAN ALLIED HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S167' '20250804' 'A' 'F' 'SCAN ALTA HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S171' '20220712' 'A' 'P' 'S&S HEALTH ' ' ' '1385 KEMPER MEADOW DR ' 'CINCINNATI ' 'OH' '452401635' '8662661110' 'PPO'

'S174' '20250804' 'A' 'F' 'SCAN BALANCE HMO CSNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S175' '20250804' 'A' 'F' 'SCAN BALANCE HMO CSNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S176' '20250804' 'A' 'F' 'SCAN BALANCE HMO CSNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S177' '20250804' 'A' 'F' 'SCAN BALANCE HMO CSNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S178' '20250804' 'A' 'F' 'SCAN BALANCE HMO CSNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S179' '20250804' 'A' 'F' 'SCAN BALANCE HMO CSNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S180' '20250804' 'A' 'F' 'SCAN BALANCE HMO CSNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S199' '20160509' 'A' 'P' 'PACIFIC SOURCE ' 'ATTN HEALTH CLAIMS ' 'PO BOX 7068 ' 'SPRINGFIELD ' 'OR' '974750068' '8006246052' 'PPO'

'S200' '20250402' 'A' 'P' 'SENTARA HEALTHCARE HMO ' ' ' '4417 CORPORATION LN ' 'VIRGINIA BEACH ' 'VA' '234623162' '7572334500' 'HMO'

'S201' '20250402' 'A' 'P' 'SENTARA HEALTHCARE PPO ' ' ' '4417 CORPORATION LN ' 'VIRGINIA BEACH ' 'VA' '234623162' '7572334500' 'PPO'

'S205' '20220125' 'A' 'P' 'SAN DIEGO ELECTRICAL HWT ' 'ATTN HEALTH CLAIMS ' 'PO BOX 231219 ' 'SAN DIEGO ' 'CA' '921931219' '8585696322' 'PPO'

'S225' '20200310' 'A' 'P' 'SIMNSA ' ' ' '333 H ST STE 6040 ' 'CHULA VISTA ' 'CA' '919105565' '8004244652' 'HMO'

'S227' '20161228' 'A' 'W' 'SECURITY LIFE INSURANCE CO ' 'ATTN DENTAL & VISION CLAIMS ' 'PO BOX 10188 ' 'LANCASTER ' 'PA' '176050188' '8003009566' 'PPO'

'S229' '20200319' 'A' 'P' 'SUMMIT ADMINISTRATON ' 'ATTN HEALTH CLAIMS ' 'PO BOX 25160 ' 'SCOTTSDALE ' 'AZ' '852550102' '8886902020' 'PPO'

'S286' '20160120' 'A' 'P' 'SUMMACARE HEALTH PLAN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 3620 ' 'AKRON ' 'OH' '443093620' '8009968701' 'PPO'

'S292' '20160401' 'A' 'L' 'SMILECARE DENTAL ' 'ATTN: HEALTH CLAIMS ' '8997 MIRA MESA BLVD ' 'SAN DIEGO ' 'CA' '921262738' '8585365550' 'PPO'

'S294' '20220125' 'A' 'P' 'SAN FRANCISCO ELECTRIAL WKRS ' ' ' '160 W SANTA CLARA ST STE 1550 ' 'SAN JOSE ' 'CA' '951131734' '4152633670' 'TPM'

'S297' '20161228' 'A' 'E' 'SIGHTCARE INC. ' ' ' '220 N MCKEMY AVE ' 'CHANDLER ' 'AZ' '852262654' '4809611702' 'PPO'

'S299' '20230808' 'A' 'F' 'SENIOR LIFE WASHINGTON ' ' ' '401 BROAD ST ' 'JOHNSTOWN ' 'PA' '159062745' '8779985433' 'MAP'

'S300' '20250422' 'A' 'F' 'SEEN HEALTH PACE ' ' ' '1839 W VALLEY BLVD ' 'ALHAMBRA ' 'CA' '918032344' '8555867336' 'MAP'

'S318' '20130726' 'A' 'F' 'UNITED HEALTHCARE WEST ' ' ' 'PO BOX 30975 ' 'SALT LAKE CITY ' 'UT' '841300975' '8009509355' 'MAP'

'S322' '20131030' 'A' 'F' 'SATELLITE HEALTH PLAN ' ' ' '3565 PIEDMONT RD NE 4 PIEDMONT CENTER STE 500 ' 'ATLANTA ' 'GA' '30305' '6504043776' 'MAP'

'S323' '20230324' 'A' 'F' 'SCAN HEALTH PLAN ' 'ATTN: CLAIMS ' 'PO BOX 22616 ' 'LONG BEACH ' 'CA' '908015616' '8003078003' 'MAP'

'S342' '20250226' 'A' 'F' 'SCAN HEALTH PLAN ' 'ATTN: CLAIMS ' 'PO BOX 22698 ' 'LONG BEACH ' 'CA' '908015698' '8003078003' 'MAP'

'S343' '20220125' 'A' 'P' 'TRISTAR BENEFIT ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 65887 ' 'WEST DES MOINES ' 'IA' '502650887' '8003970427' 'PPO'

'S345' '20170217' 'A' 'F' 'SCAN HEALTH PLAN ' 'ATTN: CLAIMS ' 'PO BOX 22698 ' 'LONG BEACH ' 'CA' '908015698' '8003078003' 'MAP'

'S347' '20130726' 'A' 'F' 'SANTA FE EMP HOSP ASSOC COASTL' 'ATTN: CLAIMS ' '551 E SAN BERNARDINO RD ' 'COVINA ' 'CA' '917231732' '6269673550' 'MAP'

'S355' '20220125' 'A' 'P' 'SOUTHERN BENEFITS ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1449 ' 'GOODLETTSVILLE ' 'TN' '370701449' '6158590131' 'PPO'

'S361' '20220712' 'A' 'P' 'SUTTER HEALTH PLUS ' 'SUTTER INDEPENDANT PHYSICIANS ' 'PO BOX 211314 ' 'EAGAN ' 'MN' '551212914' '8666810736' 'HMO'

'S363' '20161228' 'A' 'P' 'SUTTER HEALTH PLUS-SUTTER ' 'MEDICAL FOUNDATION ' 'PO BOX 255187 ' 'SACRAMENTO ' 'CA' '958655187' '8666810736' 'HMO'

'S367' '20190722' 'A' 'P' 'SISCO ' 'ATTN HEALTH CLAIMS ' 'PO BOX 389 ' 'DUBUQUE ' 'IA' '520040389' '8004574726' 'PPO'

'S385' '20200325' 'A' 'F' 'SIERRA HEALTH AND LIFE INS ' ' ' 'PO BOX 15645 ' 'LAS VEGAS ' 'NV' '891145645' '8006434845' 'MAP'

'S390' '20160204' 'A' 'P' 'SAN DIEGO CO TEAMSTERS INS ' 'ATTN HEALTH CLAIMS ' '2831 CAMINO DEL RIO S STE 207 ' 'SAN DIEGO ' 'CA' '921083828' '6196929755' 'PPO'

'S404' '20230208' 'A' 'F' 'SANTA CLARA FAMILY HEALTH PLAN' ' ' 'PO BOX 18880 ' 'SAN JOSE ' 'CA' '951588880' '4083762000' 'MAP'

'S412' '20190723' 'A' 'P' 'SIERRA PACIFIC IND ' 'ATTN HEALTH CLAIMS ' 'PO BOX 496011 ' 'REDDING ' 'CA' '960496011' '5303788286' 'PPO'

'S415' '20220712' 'A' 'P' 'SCOTT & WHITE HEALTH PLAN ' ' ' 'PO BOX 21800 ' 'EAGAN ' 'MN' '551210800' '8552528782' 'HMO'

'S436' '20160217' 'A' 'P' 'SCHMIDBAUER LUMBER INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1405 ' 'EUREKA ' 'CA' '955021405' '7074437100' 'PPO'

'S448' '20250131' 'A' 'D' 'WELLCARE PDP RX ONLY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8446572460' 'PDP'

'S467' '20160921' 'A' 'F' 'SECURE HORIZONS SUPPLEMENT ' ' ' 'PO BOX 31350 ' 'SALT LAKE CITY ' 'UT' '841310350' '8778423210' 'HMO'

'S498' '20220712' 'A' 'P' 'CIGNA VISION ' 'ATTN HEALTH CLAIMS ' 'PO BOX 997561 ' 'SACRAMENTO ' 'CA' '958997561' '8.00245E+13' 'PPO'

'S501' '20160509' 'A' 'L' 'STANDARD INSURANCE COMPANY ' 'ATTN DENTAL CLAIMS ' 'PO BOX 82622 ' 'LINCOLN ' 'NE' '685012622' '8005479515' 'PPO'

'S515' '20190320' 'A' 'P' 'SHARPE HEALTH PLAN HMO ' ' ' 'PO BOX 939036 ' 'SAN DIEGO ' 'CA' '921939036' '8584998200' 'HMO'

'S521' '20100902' 'A' 'D' 'SCOTT AND WHITE HEALTH PLAN ' ' ' '1500 CAPITOL AVE ' 'SACRAMENTO ' 'CA' '958145006' '8003217947' 'PDP'

'S523' '20230829' 'A' 'F' 'STANFORD HEALTH CARE ADVANTAGE' ' ' 'PO BOX 740715 ' 'LOS ANGELES ' 'CA' '900740715' '8005493720' 'MAP'

'S550' '20210514' 'A' 'E' 'UNUM GROUP ' ' ' 'PO BOX 98100 ' 'BATON ROUGE ' 'LA' '708989100' '8887295433' 'PPO'

'S551' '20240207' 'A' 'F' 'SCAN HEALTH PLAN ' ' ' 'PO BOX 22616 ' 'LONG BEACH ' 'CA' '908015616' '8667226725' 'MAP'

'S760' '20250730' 'A' 'F' 'SENIOR CARE HMO ISNP ' ' ' 'PO BOX 40 ' 'GLEN BURNIE ' 'MD' '210600040' '8443053879' 'MAP'

'S761' '20250804' 'A' 'F' 'SHARP DIR ADV GOLD CARD HMO ' ' ' '8520 TECH WAY STE 200 ' 'SAN DIEGO ' 'CA' '921231450' '8555628853' 'MAP'

'S762' '20250804' 'A' 'F' 'SHARP DIR ADV PLAT CARD HMO ' ' ' '8520 TECH WAY STE 200 ' 'SAN DIEGO ' 'CA' '921231450' '8555628853' 'MAP'

'S763' '20250804' 'A' 'F' 'SHARP DIRECT ADV VIP PLAN HMO ' ' ' '8520 TECH WAY STE 200 ' 'SAN DIEGO ' 'CA' '921231450' '8555628853' 'MAP'

'S764' '20250806' 'A' 'F' 'ST PAULS PACE PACE ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '8775107223' 'MAP'

'S765' '20250806' 'A' 'F' 'ST PAULS PACE PACE ' ' ' 'PO BOX 21631 ' 'EAGAN ' 'MN' '551210631' '8775107223' 'MAP'

'S766' '20250805' 'A' 'F' 'SUTTER SENIORCARE PACE ' ' ' '444 N 3RD ST ' 'SACRAMENTO ' 'CA' '958110226' '8335607223' 'MAP'

'S767' '20250805' 'A' 'F' 'SUTTER SENIORCARE PACE ' ' ' '444 N 3RD ST ' 'SACRAMENTO ' 'CA' '958110226' '8335607223' 'MAP'

'S822' '20230728' 'A' 'F' 'ASCENSION COMPLETE SACRED HEAR' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8336032971' 'MAP'

'S926' '20230406' 'A' 'D' 'STERLING LIFE INSURANCE CO ' ' ' '16 INTERNATIONAL WAY ' 'WARWICK ' 'RI' '28861706' '8006680010' 'PDP'

'S930' '20250804' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S931' '20250805' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S932' '20250805' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S933' '20250804' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S934' '20250804' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S935' '20250804' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S936' '20250804' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S937' '20250804' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S938' '20250804' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S939' '20250804' 'A' 'F' 'SCAN CLASSIC HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S940' '20250730' 'A' 'F' 'SCAN CONNECTIONS HMO DSNP ' ' ' 'PO BOX 22698 ' 'LONG BEACH ' 'CA' '908015698' '8667226725' 'MAP'

'S941' '20250730' 'A' 'F' 'SCAN CONNECTIONS HME HMO DSNP ' ' ' 'PO BOX 22698 ' 'LONG BEACH ' 'CA' '908015698' '8667226725' 'MAP'

'S942' '20250804' 'A' 'F' 'SCAN EMBRACE HMO ISNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S943' '20250804' 'A' 'F' 'SCAN EMBRACE HMO ISNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S944' '20250804' 'A' 'F' 'SCAN EMBRACE HMO POS ISNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S945' '20250804' 'A' 'F' 'SCAN INSPIRED BY WOMEN HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S946' '20250805' 'A' 'F' 'SCAN MYCHOICE HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S947' '20250804' 'A' 'F' 'SCAN MYCHOICE HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S948' '20250804' 'A' 'F' 'SCAN MYCHOICE HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S949' '20250804' 'A' 'F' 'SCAN MYCHOICE HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S950' '20250804' 'A' 'F' 'SCAN MYCHOICE HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S951' '20250805' 'A' 'F' 'SCAN MYCHOICE HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S952' '20250804' 'A' 'F' 'SCAN PRIME HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S953' '20250804' 'A' 'F' 'SCAN STRIVE HMO CSNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S954' '20250804' 'A' 'F' 'SCAN STRIVE HMO CSNP ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S955' '20250804' 'A' 'F' 'SCAN VENTURE HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'S956' '20250804' 'A' 'F' 'SCAN VENTURE HMO ' ' ' 'PO BOX 21543 ' 'EAGAN ' 'MN' '551210543' '8005593500' 'MAP'

'T003' '20220510' 'A' 'F' 'TUFTS MEDICARE PREFERRED ' ' ' 'PO BOX 518 ' 'CANTON ' 'MA' '20210518' '8006334227' 'MAP'

'T004' '20220914' 'A' 'F' 'THE MMM PLATINUM ' ' ' '5755 BLUE LAGOON DR STE 450 ' 'MIAMI ' 'FL' '331262015' '8442129859' 'MAP'

'T005' '20220914' 'A' 'F' 'TRILLIUM ADVANTAGE DUAL ' ' ' 'PO BOX 11756 ' 'EUGENE ' 'OR' '974403956' '8448671156' 'MAP'

'T006' '20221208' 'A' 'F' 'TROY MEDICARE FOR DUAL BENEFI ' ' ' '615 S COLLEGE ST FL 10 ' 'CHARLOTTE ' 'NC' '282023355' '8884948769' 'MAP'

'T007' '20221208' 'A' 'F' 'TUFTS HEALTH UNIFY ' ' ' '26741 PORTOLA PKWY ' 'FOOTHILL RANCH ' 'CA' '926101743' '8553933154' 'MAP'

'T009' '20221216' 'A' 'F' 'TRUE BLUE SPECIAL NEEDS PLAN ' ' ' 'PO BOX 8406 ' 'BOISE ' 'ID' '837072406' '2082863675' 'MAP'

'T011' '20221223' 'A' 'F' 'TUFTS HEALTH PLAN SENIOR CARE ' ' ' 'PO BOX 524 ' 'CANTON ' 'MA' '20210524' '8556705934' 'MAP'

'T019' '20210614' 'A' 'P' 'TEAMSTERS LOCAL 639 ' 'ATTN HEALTH CLAIMS ' '3100 AMES PL NE ' 'WASHINGTON ' 'DC' '200181513' '2026368181' 'PPO'

'T020' '20220121' 'A' 'F' 'TRIIPLE S ADVANTAGE CONTIGO ' ' ' 'PO BOX 363628 ' 'SAN JUAN ' 'PR' '9363628' '8886201919' 'MAP'

'T086' '20161228' 'A' 'P' 'TEAMSTERS UNION LOC 315 ' 'ATTN HEALTH CLAIMS ' '2727 ALHAMBRA AVE ' 'MARTINEZ ' 'CA' '945533120' '5102282246' 'PPO'

'T127' '20220106' 'A' 'P' 'TRUSTMARK INSURANCE COMPANY ' 'ATTN HEALTH CLAIMS ' 'PO BOX 7929 ' 'LAKE FOREST ' 'IL' '600457929' '8006543774' 'PPO'

'T144' '20220712' 'A' 'P' 'TUFTS ASSOC HEALTH INC ' ' ' 'PO BOX 9190 ' 'WATERTOWN ' 'MA' '24719190' '8888842404' 'HMO'

'T158' '20230808' 'A' 'F' 'TRIBUTE ADVANTAGE ' ' ' 'PO BOX 3630 ' 'LITTLE ROCK ' 'AR' '722033630' '8773721033' 'MAP'

'T162' '20250114' 'A' 'L' 'STAR MARKETING ADMIN DENTAL ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2980 ' 'CLINTON ' 'IA' '527332980' '8005221246' 'PPO'

'T167' '20220712' 'A' 'P' 'TR PAUL INC (GROUP SERVICES) ' 'ATTN HEALTH CLAIMS ' '555 HERITAGE RD ' 'SOUTHBURY ' 'CT' '64883846' '2034268161' 'PPO'

'T174' '20190320' 'A' 'P' 'TRANSWESTERN INSURANCE ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 45019 ' 'FRESNO ' 'CA' '937185019' '8002218942' 'PPO'

'T206' '20200325' 'A' 'D' 'TRIPLE S ' ' ' '2760 AVE MARUCA ' 'PONCE ' 'PR' '7284108' '7877494949' 'PDP'

'T229' '20160217' 'A' 'P' 'BCBS OF MINNESOTA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 64338 ' 'SAINT PAUL ' 'MN' '551640338' '8662895154' 'PPO'

'T267' '20220712' 'A' 'P' 'TRUSTEED PLANS SERV CORP ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2950 ' 'TACOMA ' 'WA' '984012950' '2535645611' 'PPO'

'T279' '20160217' 'A' 'P' 'BENEFIT & RISK MGMT SERVICES ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2140 ' 'FOLSOM ' 'CA' '957632140' '8883262555' 'PPO'

'T281' '20220106' 'A' 'P' 'TRUSTMARK LIFE INS COMPANY ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2942 ' 'CLINTON ' 'IA' '527332942' '8005221246' 'PPO'

'T283' '20190326' 'A' 'C' 'TRICARE FOR LIFE ' 'ATTN PGBA CLAIMS ' 'PO BOX 7890 ' 'MADISON ' 'WI' '537077890' '8667730404' 'HMO'

'T286' '20220712' 'A' 'P' 'MAXOR ADMINISTRATIVE SERVICES ' 'ATTN: HEALTH CLAIMS ' 'PO BOX 32050 ' 'AMARILLO ' 'TX' '791202050' '8556296787' 'PPO'

'T290' '20220712' 'A' 'P' 'TALL TREE ADMINISTRATORS ' 'ATTN: HEALTH CLAIMS ' '11550 S 700 E ' 'DRAPER ' 'UT' '840204401' '8774534201' 'PPO'

'T291' '20220712' 'A' 'P' 'TEACHERS HEALTH TRUST ' ' ' 'PO BOX 96238 ' 'LAS VEGAS ' 'NV' '891936238' '7027940272' 'PPO'

'T360' '20160323' 'A' 'F' 'PEOPLES HEALTH ' 'ATTN: CLAIMS ' 'PO BOX 7890 ' 'METAIRIE ' 'LA' '700107890' '8006318443' 'MAP'

'U003' '20230830' 'A' 'F' 'UNITED HEALTHCARE DUAL COMPLE ' ' ' 'PO BOX 30508 ' 'SALT LAKE CITY ' 'UT' '841300508' '8445604944' 'MAP'

'U004' '20230831' 'A' 'F' 'UNITED HEALTHCARE DUAL COMPLE ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8669444983' 'MAP'

'U005' '20230831' 'A' 'F' 'UNITED HEALTHCARE DUAL COMPLE ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8668014409' 'MAP'

'U006' '20220914' 'A' 'F' 'UNITED HEALTHCARE DUAL COMPLE ' ' ' 'PO BOX 31364 ' 'SALT LAKE CITY ' 'UT' '841310364' '8005144912' 'MAP'

'U007' '20160323' 'A' 'F' 'UNIVERSITY CARE ADVANTAGE ' ' ' 'PO BOX 38549 ' 'PHOENIX ' 'AZ' '850698549' '8778743930' 'MAP'

'U008' '20140123' 'A' 'F' 'UNITED HEALTH CARE ' ' ' 'PO BOX 31362 ' 'SALT LAKE CITY ' 'UT' '841310362' '8004578506' 'MAP'

'U009' '20140123' 'A' 'F' 'UNITED HEALTH CARE ' ' ' 'PO BOX 31362 ' 'SALT LAKE CITY ' 'UT' '841310362' '8004578506' 'MAP'

'U011' '20151125' 'A' 'F' 'UNITED HEALTH CARE ' ' ' 'PO BOX 31362 ' 'SALT LAKE CITY ' 'UT' '841310362' '8004578506' 'MAP'

'U012' '20140123' 'A' 'F' 'UNITED HEALTH CARE ' ' ' 'PO BOX 31362 ' 'SALT LAKE CITY ' 'UT' '841310362' '8004578506' 'MAP'

'U013' '20220118' 'A' 'F' 'UNITEDHEALTHCARE MEDICARE ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8006434845' 'MAP'

'U014' '20230831' 'A' 'F' 'UNITED HEALTHCARE MEDICARE ' ' ' 'PO BOX 30607 ' 'SALT LAKE CITY ' 'UT' '841300607' '8663677527' 'MAP'

'U015' '20220302' 'A' 'F' 'UCARE COMPLETE ' ' ' 'PO BOX 52 ' 'MINNEAPOLIS ' 'MN' '554400052' '6126763600' 'MAP'

'U016' '20220330' 'A' 'F' 'UNITEDHEALTHCARE MEDICARE ' ' ' 'PO BOX 30995 ' 'SALT LAKE CITY ' 'UT' '841300995' '8007116088' 'MAP'

'U019' '20220602' 'A' 'F' 'UPMC FOR LIFE HMO RX ' ' ' '600 GRANT ST ' 'PITTSBURGH ' 'PA' '152192702' '8775393080' 'MAP'

'U021' '20220914' 'A' 'F' 'UNITED HEALTHCARE DUAL COMPLE ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8664801086' 'MAP'

'U023' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8009334017' 'MAP'

'U024' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8664801086' 'MAP'

'U025' '20190723' 'A' 'L' 'UNICARE DENTAL ' 'ATTN DENTAL CLAIMS ' 'PO BOX 659444 ' 'SAN ANTONIO ' 'TX' '782659444' '8882097854' 'PPO'

'U027' '20230831' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 31364 ' 'SALT LAKE CITY ' 'UT' '841310364' '8448137804' 'MAP'

'U034' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 31364 ' 'SALT LAKE CITY ' 'UT' '841310364' '8668155334' 'MAP'

'U037' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8664801086' 'MAP'

'U038' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8446233105' 'MAP'

'U039' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 31350 ' 'SALT LAKE CITY ' 'UT' '841310350' '8443687151' 'MAP'

'U040' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 31350 ' 'SALT LAKE CITY ' 'UT' '841310350' '8669444984' 'MAP'

'U041' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8775963258' 'MAP'

'U042' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8449824579' 'MAP'

'U045' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8668424968' 'MAP'

'U046' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8669443488' 'MAP'

'U048' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8884700793' 'MAP'

'U049' '20210625' 'A' 'P' 'UNION ROOFERS HWTF ' 'ATTN HEALTH CLAIMS ' '9901 PARAMOUNT BLVD STE 211 ' 'DOWNEY ' 'CA' '902403853' '5629271434' 'PPO'

'U055' '20190417' 'A' 'L' 'UNITED HEALTH CARE DENTAL ' ' ' 'PO BOX 30567 ' 'SALT LAKE CITY ' 'UT' '841300567' '8004459090' 'PPO'

'U056' '20190417' 'A' 'E' 'UNITED HEALTHCARE VISION ' ' ' 'PO BOX 30978 ' 'SALT LAKE CITY ' 'UT' '841300978' '8006383120' 'PPO'

'U059' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 31364 ' 'SALT LAKE CITY ' 'UT' '841310364' '8003961942' 'MAP'

'U066' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 31364 ' 'SALT LAKE CITY ' 'UT' '841310364' '8778001665' 'MAP'

'U067' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 31364 ' 'SALT LAKE CITY ' 'UT' '841310364' '8778001665' 'MAP'

'U068' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30991 ' 'SALT LAKE CITY ' 'UT' '841300991' '8443687151' 'MAP'

'U069' '20210614' 'A' 'P' 'UNITED FURNITURE WKRS INS FUND' 'ATTN HEALTH CLAIMS ' '1910 AIR LANE DR ' 'NASHVILLE ' 'TN' '372103810' '6158898860' 'PPO'

'U070' '20230209' 'A' 'P' 'UNITED HEALTHCARE ' ' ' 'PO BOX 30555 ' 'SALT LAKE CITY ' 'UT' '841300555' '8007051691' 'PPO'

'U073' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 31350 ' 'SALT LAKE CITY ' 'UT' '841310350' '8668424968' 'MAP'

'U074' '20220914' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30991 ' 'SALT LAKE CITY ' 'UT' '841300991' '8002904009' 'MAP'

'U075' '20220914' 'A' 'F' 'UNITEDHEALTHCARE SENIOR CARE ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8888675511' 'MAP'

'U076' '20220914' 'A' 'F' 'UPMC FOR LIFE COMPLETE CARE ' ' ' 'PO BOX 371472 ' 'PITTSBURGH ' 'PA' '152507472' '8006068648' 'MAP'

'U077' '20221208' 'A' 'F' 'UNITED HEALTHCARE CONNECTED ' ' ' '9900 BREN RD E ' 'MINNETONKA ' 'MN' '553439664' '8002566533' 'MAP'

'U078' '20221208' 'A' 'F' 'UNITED HEALTHCARE DUAL COMPLE ' ' ' 'PO BOX 30991 ' 'SALT LAKE CITY ' 'UT' '841300991' '8448559774' 'MAP'

'U079' '20221208' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 30769 ' 'SALT LAKE CITY ' 'UT' '841300769' '8664801086' 'MAP'

'U081' '20221208' 'A' 'F' 'UW HEALTH QUARTZ MED ADVANTAG ' ' ' 'PO BOX 78730 ' 'MILWAUKEE ' 'WI' '52378' '6088818275' 'MAP'

'U082' '20220712' 'A' 'P' 'UNICARE PPO ' 'ATTN HEALTH CLAIMS ' '233 S WACKER DR ' 'CHICAGO ' 'IL' '606067147' '8008888738' 'PPO'

'U083' '20221216' 'A' 'F' 'UCARE MINNESOTA SENIOR HEALTH ' ' ' 'PO BOX 52 ' 'MINNEAPOLIS ' 'MN' '554400052' '6126766868' 'MAP'

'U084' '20221216' 'A' 'F' 'UNITEDHEALTHCARE DUAL COMPLET ' ' ' 'PO BOX 31365 ' 'SALT LAKE CITY ' 'UT' '841310365' '8448559776' 'MAP'

'U085' '20221216' 'A' 'F' 'UNITEDHEALTHCARE MEDICARE COM ' ' ' 'PO BOX 30884 ' 'SALT LAKE CITY ' 'UT' '841300884' '8007110646' 'MAP'

'U086' '20221223' 'A' 'F' 'UHC CONNECTED MYCAREOHIO ' ' ' 'PO BOX 8207 ' 'KINGSTON ' 'NY' '124028207' '8775429236' 'MAP'

'U087' '20230417' 'A' 'F' 'UNITEDHEALTHCARE CHOICE FLEX ' ' ' 'PO BOX 30884 ' 'SALT LAKE CITY ' 'UT' '841300884' '8662721967' 'MAP'

'U088' '20221223' 'A' 'F' 'UHC NURSING HOME PLAN ' ' ' 'PO BOX 5290 ' 'KINGSTON ' 'NY' '124025290' '8668709604' 'MAP'

'U089' '20230104' 'A' 'F' 'UHC NURSING HOME PLAN ' ' ' 'PO BOX 30555 ' 'SALT LAKE CITY ' 'UT' '841300555' '8665504736' 'MAP'

'U091' '20230501' 'A' 'F' 'UPMC FOR LIFE HIGH DEDUCT RX ' ' ' '600 GRANT ST ' 'PITTSBURGH ' 'PA' '152192702' '8775393080' 'MAP'

'U092' '20250226' 'A' 'P' 'US HEALTH GROUP ' ' ' '300 BURNETT ST STE 200 ' 'FORT WORTH ' 'TX' '761022734' '8667808744' 'PPO'

'U116' '20160119' 'A' 'P' 'UNITED FOOD & COMMERCIAL WKR ' 'ATTN HEALTH CLAIMS ' 'PO BOX 6010 ' 'CYPRESS ' 'CA' '906300010' '7142202297' 'PPO'

'U118' '20220712' 'A' 'P' 'UNICARE HMO ' 'ATTN HEALTH CLAIMS ' '233 S WACKER DR ' 'CHICAGO ' 'IL' '606067147' '8005640938' 'HMO'

'U124' '20160120' 'A' 'P' 'UNIFIED GROUP SERVICES INC. ' ' ' 'PO BOX 10 ' 'PENDLETON ' 'IN' '460640010' '8002915837' 'PPO'

'U131' '20230322' 'A' 'F' 'UCARE CONNECT PLUS MEDICARE ' ' ' '500 STINSON BLVD ' 'MINNEAPOLIS ' 'MN' '554132615' '6126763310' 'MAP'

'U134' '20220712' 'A' 'P' 'QUARTZ BENEFITS ' ' ' '840 CAROLINA ST ' 'SAUK CITY ' 'WI' '535831371' '8003623310' 'PPO'

'U153' '20160119' 'A' 'L' 'UNITED CONCORDIA ' ' ' 'PO BOX 69421 ' 'HARRISBURG ' 'PA' '171069421' '8663573304' 'HMO'

'U156' '20190301' 'A' 'P' 'UNITED HEALTHCARE HMO ' ' ' 'PO BOX 30555 ' 'SALT LAKE CITY ' 'UT' '841300555' '8002486953' 'HMO'

'U178' '20190723' 'A' 'P' 'UNITED AGRICULTURAL BENEFIT ' 'TRUST ATTN HEALTH CLAIMS ' '54 CORPORATE PARK ' 'IRVINE ' 'CA' '926065105' '8002234590' 'PPO'

'U185' '20241223' 'A' 'F' 'UCLA HEALTH MEDICARE ADVANTAG ' 'E ' 'PO BOX 211622 ' 'EAGAN ' 'MN' '551213622' '8336278252' 'MAP'

'U188' '20230327' 'A' 'F' 'BRAND NEW DAY ' ' ' 'PO BOX 794 ' 'PARK RIDGE ' 'IL' '600680794' '8662554795' 'MAP'

'U199' '20160329' 'A' 'P' 'UFCW JOINT TRUST FUND ' 'ATTN HEALTH CLAIMS ' 'PO BOX 6010 ' 'CYPRESS ' 'CA' '906300010' '7.1422E+12' 'PPO'

'U208' '20210625' 'A' 'P' 'UTAH LABORERS HWTF ' 'ATTN HEALTH CLAIMS ' 'PO BOX 30262 ' 'SALT LAKE CITY ' 'UT' '841300262' '8019731010' 'PPO'

'U232' '20160217' 'A' 'P' 'UNITED MINE WKRS OF AMERICA ' 'HEALTH/RETIREMENT FUNDS ' 'PO BOX 99002 ' 'LUBBOCK ' 'TX' '794909002' '8008438109' 'PPO'

'U236' '20190320' 'A' 'P' 'US ABLE ADMIN ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1460 ' 'LITTLE ROCK ' 'AR' '722031460' '8888988145' 'PPO'

'U237' '20250805' 'A' 'F' 'UC SAN DIEGO HLTH HUMANA HMO ' ' ' 'PO BOX 14168 ' 'LEXINGTON ' 'KY' '405124168' '8004574708' 'MAP'

'U238' '20250801' 'A' 'F' 'UCLA HEALTH MAP PRESTIGE HMO ' ' ' 'PO BOX 211622 ' 'EAGAN ' 'MN' '551213622' '8336278252' 'MAP'

'U239' '20250801' 'A' 'F' 'UCLA HEALTH MAP PRINCIPAL HMO ' ' ' 'PO BOX 211622 ' 'EAGAN ' 'MN' '551213622' '8336278252' 'MAP'

'U259' '20220712' 'A' 'P' 'US. BENEFITS ' 'ATTN HEALTH CLAIMS ' '1919 NE PACIFIC ST STE 100 ' 'PORTLAND ' 'OR' '972322297' '5032333888' 'PPO'

'U271' '20250729' 'A' 'F' 'UHC COMPLETE CARE 15P CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U272' '20250729' 'A' 'F' 'UHC COMPLETE CARE 18P CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U273' '20250729' 'A' 'F' 'UHC COMPLETE CARE 19P CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U275' '20250729' 'A' 'F' 'UHC COMPLETE CARE 20P CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U276' '20250729' 'A' 'F' 'UHC COMPLETE CARE 25P CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8662617709' 'MAP'

'U278' '20250729' 'A' 'F' 'UHC COMPLETE CARE 27P CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U279' '20250729' 'A' 'F' 'UHC COMPLETE CARE 36P CSNP ' ' ' 'PO BOX 30770 ' 'SALT LAKE CITY ' 'UT' '841300770' '8448084553' 'MAP'

'U282' '20250729' 'A' 'F' 'UHC COMPLETE CARE 1AP CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U283' '20250729' 'A' 'F' 'UHC COMPLETE CARE 2AP CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U284' '20250729' 'A' 'F' 'UHC COMPLETE CARE 3AP CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U285' '20210513' 'A' 'P' 'UNITED BEHAVIORAL HEALTH ' 'ATTN HEALTH CLAIMS ' 'PO BOX 30755 ' 'SALT LAKE CITY ' 'UT' '841300755' '8776140484' 'HMO'

'U286' '20250729' 'A' 'F' 'UHC COMPLETE CARE 4AP CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U287' '20160204' 'A' 'P' 'UNITED MEDICAL RESOURCES INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 145804 ' 'CINCINNATI ' 'OH' '452505804' '5136193000' 'PPO'

'U289' '20250729' 'A' 'F' 'UHC COMPLETE CARE 6AP CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U290' '20250729' 'A' 'F' 'UHC COMPLETE CARE 7AP CSNP ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U291' '20250729' 'A' 'F' 'UHC COMPLETE CARE 8AP CSNP ' ' ' 'PO BOX 30770 ' 'SALT LAKE CITY ' 'UT' '841300770' '8662617709' 'MAP'

'U295' '20211118' 'A' 'P' 'UHA HEALTH INSURANCE ' ' ' 'PO BOX 29590 ' 'HONOLULU ' 'HI' '968201990' '8004584600' 'PPO'

'U304' '20150515' 'A' 'C' 'UNITED STATES DEPT OF VETERANS' ' ' 'PO BOX 149200 ' 'AUSTIN ' 'TX' '787149200' '8663721144' 'HMO'

'U306' '20250729' 'A' 'F' 'UHC SHARP MAP 1P HMO ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U307' '20250729' 'A' 'F' 'UHC SHARP MAP VALRX 12P HMO ' ' ' 'PO BOX 30968 ' 'SALT LAKE CITY ' 'UT' '841300968' '8448084553' 'MAP'

'U315' '20250415' 'A' 'P' 'US FAMILY HEALTH PLAN ' ' ' '5 PENN PLZ FL 9TH ' 'NEW YORK ' 'NY' '100011810' '8002414848' 'PPO'

'U396' '20210614' 'A' 'Q' 'ENVOLVE PHARMACY SOLUTIONS ' ' ' '5 E RIVER PARK PL E STE 210 ' 'FRESNO ' 'CA' '937201560' '8004137721' 'PPO'

'U398' '20220712' 'A' 'P' 'UNIVERA HEALTHCARE ' 'ATTN: HEALTH CLAIMS ' 'PO BOX 23000 ' 'ROCHESTER ' 'NY' '146923000' '8772429464' 'PPO'

'U402' '20200825' 'A' 'P' 'UPMC HEALTH PLAN ' ' ' 'PO BOX 2999 ' 'PITTSBURGH ' 'PA' '152302999' '8669181595' 'PPO'

'U764' '20230808' 'A' 'F' 'UNITED HEALTHCARE DUAL COMPLET' ' ' '475 KILVERT ST STE 310 ' 'WARWICK ' 'RI' '28861360' '8002912634' 'MAP'

'V003' '20220610' 'A' 'F' 'VIBRA HEALTH PLAN ENHANCED ' ' ' 'PO BOX 21199 ' 'EAGAN ' 'MN' '551210199' '8443888268' 'MAP'

'V004' '20220914' 'A' 'F' 'VANTAGE DUAL PLUS ' ' ' 'PO BOX 1270 ' 'LAWRENCE ' 'KS' '660448270' '3183610900' 'MAP'

'V005' '20220914' 'A' 'F' 'VIRGINIA PREMIER ADVANTAGE EL ' ' ' 'PO BOX 4250 ' 'RICHMOND ' 'VA' '232208250' '8048195151' 'MAP'

'V006' '20220914' 'A' 'F' 'VIVA MEDICARE EXTRA VALUE ' ' ' '301 GOVERNORS DR SW # 5213 ' 'HUNTSVILLE ' 'AL' '358015123' '2059182067' 'MAP'

'V007' '20221208' 'A' 'F' 'VERMONT BLUE ADVANTAGE FREEDO ' ' ' 'PO BOX 260755 ' 'PLANO ' 'TX' '750260755' '8448395125' 'MAP'

'V008' '20221216' 'A' 'F' 'VANTAGE BASIC ' ' ' '122 SAINT JOHN ST ' 'MONROE ' 'LA' '712017370' '3183610900' 'MAP'

'V009' '20230601' 'A' 'F' 'VNSNY CHOICE TOTAL ' ' ' 'PO BOX 4498 ' 'SCRANTON ' 'PA' '185056498' '8667831444' 'MAP'

'V010' '20190417' 'A' 'E' 'AETNA VISION ' ' ' 'PO BOX 14079 ' 'LEXINGTON ' 'KY' '405124079' '8887729682' 'PPO'

'V012' '20201113' 'A' 'E' 'ANTHEM BLUE CROSS VISION ' ' ' 'PO BOX 8504 ' 'MASON ' 'OH' '450407111' '8004211880' 'PPO'

'V020' '20160217' 'A' 'P' 'VENTURA COUNTY HEALTH CARE ' ' ' '2220 E GONZALES RD STE 210B ' 'OXNARD ' 'CA' '930368294' '8006008247' 'HMO'

'V025' '20160914' 'A' 'P' 'BEACON HEALTH OPTIONS ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1347 ' 'LATHAM ' 'NY' '121108847' '80039716303' 'PPO'

'V039' '20200319' 'A' 'P' 'VALLEY HEALTH PLAN HMO ' ' ' 'PO BOX 26160 ' 'SAN JOSE ' 'CA' '951596160' '8884218444' 'HMO'

'V042' '20210514' 'A' 'E' 'VISION PLAN OF AMERICA ' ' ' '3255 WILSHIRE BLVD STE 1610 ' 'LOS ANGELES ' 'CA' '900101419' '2133842600' 'PPO'

'V043' '20161228' 'A' 'E' 'VISION SERVICE PLAN ' 'ATTN VISION CLAIMS ' 'PO BOX 385018 ' 'BIRMINGHAM ' 'AL' '352385018' '8008527600' 'PPO'

'V067' '20161228' 'A' 'P' 'VICTOR VALLEY COMMUNITY HOSP ' 'ATTN PATIENT ACCOUNTY DEPT ' '15248 ELEVENTH ST ' 'VICTORVILLE ' 'CA' '923953704' '7602458691' 'TPI'

'V082' '20210514' 'A' 'E' 'VISION BENEFITS OF AMERICA ' 'ATTN VISION CLAIMS ' '400 LYDIA STREET SUITE 300 ' 'PITTSBURGH ' 'PA' '15236' '8004324966' 'PPO'

'V086' '20190417' 'A' 'E' 'EYE MED ' 'ATTN HEALTH CLAIMS ' 'PO BOX 8504 ' 'CINCINNATI ' 'OH' '452080504' '8885813648' 'HMO'

'V100' '20211025' 'A' 'P' 'VENTURA COUNTY HLTH CARE PLAN ' ' ' '2220 E GONZALES RD STE 2108 ' 'OXNARD ' 'CA' '930363707' '8059815050' 'HMO'

'V118' '20250806' 'A' 'F' 'VILLAGEHEALTH HMO POS CSNP ' ' ' 'PO BOX 22616 ' 'LONG BEACH ' 'CA' '908015616' '8003997226' 'MAP'

'V119' '20250806' 'A' 'F' 'VILLAGEHEALTH HMO POS CSNP ' ' ' 'PO BOX 22616 ' 'LONG BEACH ' 'CA' '908015616' '8003997226' 'MAP'

'V913' '20250416' 'A' 'P' 'VITORI HEALTH ' ' ' '4000 W 114TH ST STE 110 ' 'LEAWOOD ' 'KS' '662112622' '8444848674' 'PPO'

'W004' '20230829' 'A' 'F' 'WELLCARE HEALTHPLANS INC. ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8338575715' 'MAP'

'W006' '20220712' 'A' 'P' 'WISONSIN EDUCATION ASSOC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 8003 ' 'MADISON ' 'WI' '537088003' '8002794000' 'PPO'

'W007' '20200313' 'A' 'F' 'WELLCARE HEALTHPLANS INC. ' ' ' 'PO BOX 31372 ' 'TAMPA ' 'FL' '336313372' '8666878878' 'MAP'

'W010' '20200313' 'A' 'F' 'WINDSOR MEDICARE EXTRA ' 'CLAIMS DEPARTMENT ' 'PO BOX 31685 ' 'TAMPA ' 'FL' '336313685' '6157827800' 'MAP'

'W011' '20220914' 'A' 'F' 'WELLCARE DUAL ACCESS ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W012' '20220914' 'A' 'F' 'WELLCARE DUAL ACCESS ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8663309368' 'MAP'

'W014' '20220914' 'A' 'F' 'WELLCARE DUAL ACCESS ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334026707' 'MAP'

'W015' '20220914' 'A' 'F' 'WELLCARE DUAL ACCESS ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8557661452' 'MAP'

'W016' '20230526' 'A' 'F' 'WELLCARE DUAL ACCESS MEDICARE ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8332604124' 'MAP'

'W017' '20220914' 'A' 'F' 'WELLCARE DUAL ACCESS MEDICARE ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8777257748' 'MAP'

'W018' '20220914' 'A' 'F' 'WELLCARE DUAL ACCESS OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W019' '20220914' 'A' 'F' 'WELLCARE DUAL LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W020' '20230830' 'A' 'F' 'WELLCARE DUAL LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W021' '20220914' 'A' 'F' 'WELLCARE DUAL LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W022' '20220914' 'A' 'F' 'WELLCARE DUAL LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W023' '20220914' 'A' 'F' 'WELLCARE DUAL LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8668928340' 'MAP'

'W024' '20220914' 'A' 'F' 'WELLCARE DUAL LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W025' '20220914' 'A' 'F' 'WELLCARE DUAL LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8665270056' 'MAP'

'W026' '20220914' 'A' 'F' 'WELLCARE DUAL LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8668928340' 'MAP'

'W027' '20220914' 'A' 'F' 'WELLCARE DUAL PINNACLE ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W028' '20220914' 'A' 'F' 'WELLCARE EDGE PLUS ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8668928340' 'MAP'

'W029' '20220914' 'A' 'F' 'WELLCARE EXTRA PLUS ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W030' '20220914' 'A' 'F' 'WELLCARE FIDELIS DUAL ACCESS ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8002471447' 'MAP'

'W031' '20220914' 'A' 'F' 'WELLCARE IMPERIAL ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8669993945' 'MAP'

'W032' '20220914' 'A' 'F' 'WELLCARE IMPERIAL ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8669993945' 'MAP'

'W033' '20220914' 'A' 'F' 'WELLCARE LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W034' '20230829' 'A' 'F' 'WELLCARE TEXAN PLUS STAR ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8338575715' 'MAP'

'W036' '20221208' 'A' 'F' 'WELLCARE ABSOLUTE ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8334449088' 'MAP'

'W037' '20221208' 'A' 'F' 'WELLCARE ASSIST OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449088' 'MAP'

'W038' '20221208' 'A' 'F' 'WELLCARE DUAL ACCESS OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449089' 'MAP'

'W039' '20221208' 'A' 'F' 'WELLCARE GIVEBACK OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449088' 'MAP'

'W040' '20221208' 'A' 'F' 'WELLCARE GIVEBACK OPEN ' ' ' '5300 HOMESTEAD RD NE ' 'ALBUQUERQUE ' 'NM' '871101293' '8445438996' 'MAP'

'W041' '20221208' 'A' 'F' 'WELLCARE NO PREMIUM ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8557661851' 'MAP'

'W042' '20221208' 'A' 'F' 'WELLCARE NO PREMIUM ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8334449088' 'MAP'

'W043' '20221208' 'A' 'F' 'WELLCARE NO PREMIUM ' ' ' '7700 FORSYTH BLVD ' 'CLAYTON ' 'MO' '631051807' '8338530865' 'MAP'

'W044' '20221208' 'A' 'F' 'WELLCARE NO PREMIUM OPEN ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8557661456' 'MAP'

'W045' '20221208' 'A' 'F' 'WELLCARE NO PREMIUM OPEN ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8009602530' 'MAP'

'W046' '20221208' 'A' 'F' 'WELLCARE NO PREMIUM OPEN ' ' ' '2445 MEMORIAL BLVD STE E ' 'MURFREESBORO ' 'TN' '371295156' '8778238267' 'MAP'

'W047' '20220712' 'A' 'P' 'WISCONSIN PHYSICIANS SERV ' 'ATTN HEALTH CLAIMS ' 'PO BOX 8190 ' 'MADISON ' 'WI' '537088190' '8003568051' 'PPO'

'W048' '20221228' 'A' 'F' 'WELLCARE NO PREMIUM OPEN ' ' ' '100 MORSE ST # 105 ' 'NORWOOD ' 'MA' '20624679' '7817698700' 'MAP'

'W049' '20221208' 'A' 'F' 'WELLCARE NO PREMIUM ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8334449088' 'MAP'

'W050' '20221208' 'A' 'F' 'WELLCARE OHANA PATRIOT GIVEBA ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8774577621' 'MAP'

'W051' '20221216' 'A' 'F' 'WELBEHEALTH PACIFIC PACE ' ' ' 'PO BOX 30760 ' 'TAMPA ' 'FL' '336303760' '6503360300' 'MAP'

'W054' '20221216' 'A' 'F' 'WELLCARE ASSIST OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8335420693' 'MAP'

'W056' '20221216' 'A' 'F' 'WELLCARE NO PREMIUM MEDICARE ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8557661851' 'MAP'

'W057' '20230510' 'A' 'F' 'WELLCARE NO PREMIUM OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8668221339' 'MAP'

'W058' '20221216' 'A' 'F' 'WELLCARE NO PREMIUM OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449088' 'MAP'

'W059' '20221216' 'A' 'F' 'WELLCARE PRIME BY ABSOLUTE TO ' ' ' '100 CENTER POINT CIR STE 100 ' 'COLUMBIA ' 'SC' '292103109' '8557354398' 'MAP'

'W060' '20230712' 'A' 'F' 'WELLCARE DUAL ACCESS OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8668928340' 'MAP'

'W061' '20221223' 'A' 'F' 'WELLCARE DUAL LIBERTY ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8338530864' 'MAP'

'W062' '20221223' 'A' 'F' 'WELLCARE NO PREMIUM ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8334449088' 'MAP'

'W063' '20221223' 'A' 'F' 'WELLCARE NO PREMIUM OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449088' 'MAP'

'W064' '20230712' 'A' 'F' 'WELLCARE NO PREMIUM OPEN ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8555659519' 'MAP'

'W065' '20230322' 'A' 'F' 'WELLCARE BY ALLWELL ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8449230072' 'MAP'

'W072' '20210416' 'A' 'L' 'DELTA DENTAL OF WASHINGTON ' 'ATTN DENTAL CLAIMS ' 'PO BOX 75983 ' 'SEATTLE ' 'WA' '981750983' '8003674104' 'PPO'

'W073' '20240126' 'A' 'F' 'WESTERN HEALTH ADVANTAGE ' ' ' 'PO BOX 14952 ' 'SALEM ' 'OR' '973095038' '8889424777' 'MAP'

'W078' '20220118' 'A' 'F' 'WELLCARE VALUE ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8334449088' 'MAP'

'W079' '20220225' 'A' 'F' 'WELLCARE PREMIER (TX) ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8334449088' 'MAP'

'W080' '20220225' 'A' 'F' 'WELLCARE TEXANPLUS CLASSIC ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8774862048' 'MAP'

'W081' '20230831' 'A' 'F' 'WELLCARE ABSOLUTE ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8334449088' 'MAP'

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'W090' '20220610' 'A' 'F' 'WELLCARE PREMIER (NY) ' ' ' 'PO BOX 31224 ' 'TAMPA ' 'FL' '336313224' '8334449088' 'MAP'

'W106' '20220712' 'A' 'P' 'BENEFIT PLAN ADMIN OF WI ' 'ATTN HEALTH CLAIMS ' '2901 W BELTLINE HWY STE 100 ' 'MADISON ' 'WI' '537134231' '6082789500' 'PPO'

'W108' '20230505' 'A' 'F' 'WELLCARE NO PREMIUM(HMO) ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8334449088' 'MAP'

'W112' '20151222' 'A' 'P' 'WEBTPA ' 'ATTN HEALTH CLAIMS ' 'PO BOX 99906 ' 'GRAPEVINE ' 'TX' '760999706' '8884292432' 'PPO'

'W132' '20220712' 'A' 'P' 'WESTERN GROWERS ASSUR TRUST ' 'ATTN HEALTH CLAIMS ' 'PO BOX 2220 ' 'NEWPORT BEACH ' 'CA' '926588952' '8007777898' 'PPO'

'W133' '20230505' 'A' 'F' 'WELLCARE NO PREMIUM OPEN ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8002754737' 'MAP'

'W140' '20190429' 'A' 'P' 'UMR PPO ' 'ATTN HEALTH CLAIMS ' 'PO BOX 30541 ' 'SALT LAKE CITY ' 'UT' '841300541' '8008269781' 'PPO'

'W141' '20200319' 'A' 'P' 'UMR HMO ' ' ' 'PO BOX 8077 ' 'WAUSAU ' 'WI' '544028077' '8008269781' 'HMO'

'W142' '20201014' 'A' 'E' 'UMR VISION ' ' ' 'PO BOX 30541 ' 'SALT LAKE CITY ' 'UT' '841300541' '8008269781' 'PPO'

'W144' '20230601' 'A' 'F' 'WELLCARE DUAL ACCESS ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8778238267' 'MAP'

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'W171' '20250730' 'A' 'F' 'WELLCARE DUAL LIB HMO DSNP ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8004319007' 'MAP'

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'W180' '20250804' 'A' 'F' 'WELLCARE GIVEBACK HMO ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8669993945' 'MAP'

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'W185' '20250730' 'A' 'F' 'WELLCARE PREMIUM ULTRA HMO ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8002754737' 'MAP'

'W186' '20250730' 'A' 'F' 'WELLCARE PREMIUM ULTRA HMO ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8002754737' 'MAP'

'W187' '20250801' 'A' 'F' 'WELLCARE SIMPLE HMO ' ' ' 'PO BOX 31370 ' 'TAMPA ' 'FL' '336313370' '8669993945' 'MAP'

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'W190' '20250730' 'A' 'F' 'WELLCARE SIMPLE FOCUS HMO ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8002754737' 'MAP'

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'W192' '20250730' 'A' 'F' 'WELLCARE SIMPLE FOCUS HMO ' ' ' 'PO BOX 10420 ' 'VAN NUYS ' 'CA' '914100420' '8002754737' 'MAP'

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'W200' '20211020' 'A' 'P' 'WATKINS ASSOC IND INC ' 'ATTN HEALTH CLAIMS ' 'PO BOX 1738 ' 'ATLANTA ' 'GA' '303011738' '8003333841' 'PPO'

'W207' '20150226' 'A' 'L' 'WESTERN DENTAL SERV ' ' ' 'PO BOX 14227 ' 'ORANGE ' 'CA' '928631227' '8004174444' 'HMO'

'W224' '20230728' 'A' 'F' 'AGEWELL PACE ' ' ' '5789 STATE FARM DR STE 110 ' 'ROHNERT PARK ' 'CA' '949286308' '8776154437' 'MAP'

'W227' '20240417' 'A' 'F' 'WELBE SAN JOSE PACE ' ' ' '1799 HAMILTON AVE ' 'SAN JOSE ' 'CA' '951255433' '8885304415' 'MAP'

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'W235' '20210614' 'A' 'Q' 'WELLDYNE RX ' ' ' 'PO BOX 4517 ' 'ENGLEWOOD ' 'CO' '801554517' '8884792000' 'TPP'

'W238' '20230808' 'A' 'F' 'WELLBEHEALTH SEQUOIA PACE ' ' ' '1649 VAN NESS AVE ' 'FRESNO ' 'CA' '937211128' '6503360300' 'MAP'

'W268' '20220712' 'A' 'P' 'LABOR ALLIANCE MTF ' 'ATTN HEALTH CLAIMS ' 'PO BOX 757 ' 'PLEASANTON ' 'CA' '945660075' '9099801194' 'PPO'

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'W821' '20240916' 'A' 'F' 'WELBEHEALTH ' ' ' 'PO BOX 30760 ' 'TAMPA ' 'FL' '336303760' '6503360300' 'MAP'

'Y001' '20211027' 'A' 'P' 'YALE HEALTH PLAN ' ' ' 'PO BOX 208217 ' 'NEW HAVEN ' 'CT' '65208217' '2034320246' 'HMO'

'Z004' '20230510' 'A' 'F' 'ZING COMPLETE PLUS MI ' ' ' '225 W WASHINGTON ST STE 450 ' 'CHICAGO ' 'IL' '606063520' '8669464458' 'MAP'

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'Z009' '20220712' 'A' 'P' 'ZENITH ADMIN ' 'ATTN HEALTH CLAIMS ' '11724 NE 195TH ST STE 300 ' 'BOTHELL ' 'WA' '980113568' '8004265980' 'PPO'

'Z078' '20211020' 'A' 'P' 'ZENITH AMERICAN SOLUTIONS ' 'ATTN HEALTH CLAIMS ' '302 KNIGHTS RUN AVE STE 1100 ' 'TAMPA ' 'FL' '336025987' '8136666900' 'PPO'

'Z343' '20211020' 'A' 'P' 'ULTRABENEFITS INC ' 'ATTN HEALTH CLAIMS ' '100 NORTH PKWY STE 302 ' 'WORCESTER ' 'MA' '16051354' '8668587223' 'PPO'

'Z475' '20200326' 'A' 'P' 'ZENITH ADMINISTRATORS ' 'ATTN HEALTH CLAIMS ' '580 CALIFORNIA ST FL 21ST ' 'SAN FRANCISCO ' 'CA' '941041000' '8003880508' 'PPO'